Kevin D Nowicki
Sports Medicine Doctor
2020 Oakley Seaver Dr
Clermont
, Florida 34711
Kevin D Nowicki
Sports Medicine Doctor
2020 Oakley Seaver Dr
Clermont
, Florida 34711
(352) 242-5278
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Kevin D Nowicki
- 2020 Oakley Seaver Dr
- Clermont, FL
- Zip : 34711
- Fax : (352) 242-5278
- Phone : (352) 242-0404
Second Address
- Kevin D Nowicki
- 2020 Oakley Seaver Dr
- Clermont, FL
- Zip : 34711
- Fax : (352) 242-5278
- Phone : (352) 242-0404
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | ME0062806 | FL |
National Provider Identifier
| NPI | 1154313021 |
|---|---|
| Provider Name | Kevin D Nowicki |
| First Address | Clermont, FL 34711 |
| Second Address | Clermont, FL 34711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 20/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 379981600 | (05) | FL |
| G14349 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.