Doctor Name: | MR. DAVID PAVCIK |
NPI Number: | 1013390798 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP FNP BC |
License Number: | RN9269011 |
Business Practice Address: | 3405 Nw Federal Hwy Jensen Beach, FL - 349574439 |
Business Phone Number: | 7726928082 |
Business Fax Number: | 7722329383 |
Mailing Address: | 1343 Nw Spruce Ridge Dr, STUART |
State: | FL |
Postal Code: | 349949519 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN9269011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |