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Individual
DR. DIMITRI NOVITZKY
Active
Individual
DR. DIMITRI NOVITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME61367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064781100
—
FL
01
—
11642
BLUE CROSS BLUE SHIELD
FL
01
—
1215972526
MEDICARE NPI
—
Enumeration date
06/19/2006
Last updated
05/27/2019
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