MEDICARE: MRS. MALGORZATA FLADIE ARNP

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	363L00000X	Nurse Practitioner	ARNP9232592	FL

General Provider Information

NPI Number	:	1699957506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MALGORZATA FLADIE ARNP

Provider Business Mailing Address
First Line	:	4215 BURNS RD
Second Line	:	SUITE 200
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4625
Country	:	US
Telephone Number	:	561-743-7766
Fax Number	:	561-694-3099

Provider Business Practice Location Address
First Line	:	4215 BURNS RD
Second Line	:	SUITE 100
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4625
Country	:	US
Telephone Number	:	561-694-7776
Fax Number	:	561-694-3099

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

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	08/10/2016

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