George Michael Dmytrenko, M.D., Ph.D.
Psychiatry & Neurology, Neurology in Pensacola, FL. Individual provider (NPI-1).
NPI number1104833557
StatusActive
Last updated in NPPESJun 24, 2010
Details
- NPI
- 1104833557
- Entity type
- Individual (NPI-1)
- Name
- George Michael Dmytrenko
- Credential
- M.D., Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Jun 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | ME0062184 | FL | Yes |
Practice location
5153 N 9th AvePensacola, FL 32504-8785
Phone 850-416-2554 · Fax 850-416-2536
Mailing address
Po Box 2699Pensacola, FL 32513-2699
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