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NPI Code Detail

MEDICARE: DR. JOSEPH J CZERKAWSKI JR. M.D.

MEDICARE: DR. JOSEPH J CZERKAWSKI JR. 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
12083X0100XOccupational Medicine PhysicianME64742FL
2207RS0010XSports Medicine (Internal Medicine) PhysicianME64742FL
3207R00000XInternal Medicine PhysicianME64742FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00643021OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629118484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH J CZERKAWSKI JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-1032
Fax Number : 904-396-5206
Provider Business Practice Location Address
First Line : 1660 PRUDENTIAL DR STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8188
Country : US
Telephone Number : 904-396-0000
Fax Number : 904-396-5206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/11/2024

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