Individual
DENNIS JOSEPH PEVARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6449 38TH AVE N, ST PETERSBURG, FL 33710-1655
(727) 381-0275
(727) 345-8025
Mailing address
6449 38TH AVE N, ST PETERSBURG, FL 33710-1655
(727) 381-0275
(727) 345-8025
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME70445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252444900
—
FL
01
—
41277
BLUE CROSS BLUE SHIELD
FL
01
—
990008915
RAILROAD MEDICARE
—
Enumeration date
05/18/2006
Last updated
03/23/2009
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