Individual
THOMAS STAVITZSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11026962
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN11026962
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/16/2023
Last updated
02/17/2025
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