Individual
DR. ERIC RAYMOND KRIVENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST # C506, JACKSONVILLE, FL 32209-6511
(904) 244-3817
(904) 244-5848
Mailing address
655 W 8TH ST # C506, JACKSONVILLE, FL 32209-6511
(904) 244-3817
(904) 244-5848
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101267887
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
06/30/2023
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