David Pavcik, ARNP FNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN9269011 Issued in FL

Practice address

3405 NW Federal Hwy
Jensen Beach, FL 34957-4439

Phone

(772) 692-8082

Fax

(772) 232-9383

NPI assigned

Jun 30, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1013390798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 NW SPRUCE RIDGE DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574439",
            "telephone_number": "772-692-8082",
            "fax_number": "772-232-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVCIK",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "ARNP FNP BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9269011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Parisi, LM.
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• Abigail Paul, CCC-SLP
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• Gary Peloquin, LMT
• Gina Lou Penaflor, MD
• Lynn R Peterson, DPT
• Ryanne Renee Petrof, SLP

• All providers in Jensen Beach, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.