Provider Demographics
NPI:1750378816
Name:SAVITSKY, LAWRENCE BERNARD (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:BERNARD
Last Name:SAVITSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 CENTRAL AVE
Mailing Address - Street 2:SUITE 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:SUITE 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
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0028689208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
79027OtherBCBS
FL059067300Medicaid
D58619Medicare UPIN
FL059067300Medicaid