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NPI Code Detail

MEDICARE: JENNIFER MARIE RZECHULA

MEDICARE: JENNIFER MARIE RZECHULA
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician11030920FL
2208D00000XGeneral Practice Physician11030920FL
3207Q00000XFamily Medicine Physician11030920FL

General Provider Information

NPI Number : 1174389027
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARIE RZECHULA
Provider Business Mailing Address
First Line : 2563 SW 10TH ST
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7402
Country : US
Telephone Number : 561-577-9191
Fax Number :
Provider Business Practice Location Address
First Line : 2563 SW 10TH ST
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7402
Country : US
Telephone Number : 561-577-9191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/27/2024

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Directions to “ JENNIFER MARIE RZECHULA ” Practice Location

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