Individual
PHILIP HIBNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHA, BCIA
Contact information
Practice address
585 MAIN ST, DUNEDIN, FL 34698-4918
(941) 350-9223
Mailing address
2840 W BAY DR UNIT 306, BELLEAIR BLUFFS, FL 33770-2620
(941) 350-9223
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
E6354
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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