MEDICARE: MARTIN SZKODZINSKI PHARMD.

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	183500000X	Pharmacist	PS36741	FL

General Provider Information

NPI Number	:	1003251380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN SZKODZINSKI PHARMD.

Provider Business Mailing Address
First Line	:	500 EAGLES LANDING DR
Second Line	:	SUITE A
City	:	LAKELAND
State	:	FL
Zip	:	33810-2899
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 EAGLES LANDING DR
Second Line	:	SUITE A
City	:	LAKELAND
State	:	FL
Zip	:	33810-2899
Country	:	US
Telephone Number	:	866-842-2147
Fax Number	:

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

Provider Enumeration Date	:	05/01/2013
Last Update Date	:	05/01/2013

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