Individual
BRIAN A KRIVISKY
Active
Individual
BRIAN A KRIVISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME50392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04140
BCBS
—
05
—
046328100
—
FL
01
—
0624239
AETNA HMO
—
01
—
4129715
AETNA PPO
—
01
—
ME50392
FLORIDA LICENSE
FL
Enumeration date
05/23/2006
Last updated
01/08/2024
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