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General NPI Number Information
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NPI Number | 1417470972
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Entity Type | Individual
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Provider Name | PRZEMYSLAW TOKARSKI
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Gender | Male
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 2501 OLD VINELAND RD STE 2501
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City | KISSIMMEE
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State | FL
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Zip | 34746-5839
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Country | US
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Telephone | 248-977-9677
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 471086
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City | KISSIMMEE
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State | FL
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Zip | 34747-9086
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT32479
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License Number State | FL
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