Individual
ROSSITZA IAKIMOVA CHICHKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(813) 974-4115
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME89463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16468
BLUE CROSS BLUE SHIELD
FL
05
—
272965200
—
FL
Enumeration date
08/07/2006
Last updated
09/28/2021
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