Individual
KEVIN D NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 OAKLEY SEAVER DR, CLERMONT, FL 34711
(352) 242-0404
(352) 242-5278
Mailing address
2020 OAKLEY SEAVER DR, CLERMONT, FL 34711
(352) 242-0404
(352) 242-5278
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
ME0062806
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379981600
—
FL
Enumeration date
08/17/2005
Last updated
11/20/2013
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