Provider Demographics
NPI:1740565969
Name:LAWRENCE B SAVITSKY, M.D., P.A.
Entity Type:Organization
Organization Name:LAWRENCE B SAVITSKY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAVITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-384-9595
Mailing Address - Street 1:5959 CENTRAL AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-8502
Mailing Address - Country:US
Mailing Address - Phone:727-384-9595
Mailing Address - Fax:727-347-0597
Practice Address - Street 1:5959 CENTRAL AVE
Practice Address - Street 2:STE 202
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8502
Practice Address - Country:US
Practice Address - Phone:727-384-9595
Practice Address - Fax:727-347-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0028689208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty