Pierre Sava Nedelcovych, MD
Individual provider Active NPI Family Medicine Physician · Longboat Key, FL
NPI 1376626697 · NPPES record last updated Jul 16, 2020
Key facts
- NPI
- 1376626697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME98713 (FL)
- Practice address
- 595 Bowsprit LN
Longboat Key, FL 34228-3513 - Phone
- (703) 864-1092
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Gulf Coast Hma Physician Management LLC | Family Medicine | Past | Accepting new patients |
| Gulf Coast Hma Physician Management LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME98713 | FL | Yes |
Addresses
Primary practice location
595 Bowsprit LN
Longboat Key, FL 34228-3513
Mailing address
595 Bowsprit LN
Longboat Key, FL 34228-3513
Phone (703) 864-1092
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002477200 | Medicaid | FL |
Other providers in Longboat Key, FL
- Longboat Cardiology PA
- Sanford Mackman
- Joe Mendels
- Mindful Mental Health Services - FL Gulf SW LLC
- Motus Healthcare LLC
- Michael James O'Neil
- Opal Nutrition Collective
- Pamela J. Letts, MD PA
- Publix Super Markets Inc
- Reed Medical Group LLC
All providers in Longboat Key, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.