Individual
DR. ERVIN CHARLES CERVENY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3610 16TH AVE N, ST PETERSBURG, FL 33713-5342
(727) 421-9800
Mailing address
3610 16TH AVE N, ST PETERSBURG, FL 33713-5342
(727) 421-9800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070974300
—
FL
Enumeration date
07/28/2006
Last updated
06/08/2011
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