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NPI Code Detail

MEDICARE: RAFAL PIOTR KACZYNSKI MD

MEDICARE: RAFAL PIOTR KACZYNSKI MD
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
1207Q00000XFamily Medicine PhysicianME101451FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376732818
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAL PIOTR KACZYNSKI MD
Provider Business Mailing Address
First Line : 6350 CENTRAL AVE
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33707-1430
Country : US
Telephone Number : 727-381-1144
Fax Number : 727-381-6901
Provider Business Practice Location Address
First Line : 6350 CENTRAL AVE
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33707-1430
Country : US
Telephone Number : 727-381-1144
Fax Number : 727-381-6901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2007
Last Update Date : 07/25/2025

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Directions to “ RAFAL PIOTR KACZYNSKI MD” Practice Location

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