Provider Demographics
NPI:1952832883
Name:CHIKOVSKY, MAX NOAH (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:NOAH
Last Name:CHIKOVSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 S TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3110
Mailing Address - Country:US
Mailing Address - Phone:941-777-5000
Mailing Address - Fax:941-870-9002
Practice Address - Street 1:1700 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3110
Practice Address - Country:US
Practice Address - Phone:941-777-5000
Practice Address - Fax:941-870-9002
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME157999207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology