MEDICARE: DR. JANUARIUSZ L STYPEREK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME27142	FL

General Provider Information

NPI Number	:	1194811646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANUARIUSZ L STYPEREK M.D.

Provider Business Mailing Address
First Line	:	2314 S SEACREST BLVD SUITE 102
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6788
Country	:	US
Telephone Number	:	561-732-1586
Fax Number	:	561-732-3160

Provider Business Practice Location Address
First Line	:	2314 S SEACREST BLVD SUITE 102
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6788
Country	:	US
Telephone Number	:	561-732-1586
Fax Number	:	561-732-3160

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/13/2013

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