| Thomas J Shaknovsky, DO | |
|
214 Covell Rd, Crestview, FL 32539-6060 | |
| (850) 864-4005 | |
| Not Available |
| Full Name | Thomas J Shaknovsky |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 214 Covell Rd, Crestview, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568690014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 25MA09329900 (New Jersey) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 16658 (Florida) | Secondary |
| 208600000X | Surgery | OS16658 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Shaknovsky, DO Po Box 419076, Boston, MA 02241-9076 Ph: (610) 644-8900 | Thomas J Shaknovsky, DO 214 Covell Rd, Crestview, FL 32539-6060 Ph: (850) 864-4005 |
Dennis A Stewart, MD Surgery Medicare: Medicare Enrolled Practice Location: 369 N Main St, Crestview, FL 32536 Phone: 850-689-3123 Fax: 850-689-1633 | |
Marcello A Borzatta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2260 S Ferdon Blvd, Crestview, FL 32536 Phone: 850-849-1642 | |
Dr. Denise Anne Smith, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 332 Medcrest Dr, Crestview, FL 32536 Phone: 850-682-0032 Fax: 850-682-0034 | |
Dr. David Allen Herf, MD Surgery Medicare: Medicare Enrolled Practice Location: 435 Brookmeade Dr, Crestview, FL 32539 Phone: 850-682-0409 Fax: 850-689-1696 |