person
Dr. Eric Raymond Krivensky, MD
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1669963823

Eric Raymond Krivensky is a Student in an Organized Health Care Education/Training Program based in Jacksonville, FL. Eric Raymond Krivensky practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Eric Raymond Krivensky is 1669963823 and holds a License No. 0101267887 (Florida).

The current practice location address for Eric Raymond Krivensky is 655 W 8Th St # C506, Jacksonville, FL and can be reached out via phone at 904-244-3817 and via fax at 904-244-5848.

Location: 655 W 8Th St # C506, Jacksonville, FL, 32209-6511
person
Provider Profile Details
NPI Number
1669963823
Provider Name
Eric Raymond Krivensky
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
655 W 8Th St # C506, Jacksonville, FL, 32209-6511
Phone Number
904-244-3817
Fax Number
904-244-5848
Provider Enumeration Date
05/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
655 W 8Th St # C506
City
State
Zip
32209-6511
Phone Number
904-244-3817
Fax Number
904-244-5848
person
Provider Business Mailing Address Details
Address
655 W 8Th St # C506
City
State
Zip
32209-6511
Phone Number
904-244-3817
Fax Number
904-244-5848
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0101267887 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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