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NPI Code Detail

MEDICARE: MICHAEL JOSEPH KRZYZKOWSKI M.D.

MEDICARE: MICHAEL JOSEPH KRZYZKOWSKI M.D.
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 PhysicianME91548FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125654OTHERFLUNITED HEATLHCARE
2301386OTHERFLWELLCARE URGENT CARE
3214490OTHERFLAMERIGROUP
4229615OTHERFLAMERIGROUP URGENT CARE
5311532OTHERFLWELLCARE
604690OTHERFLUNIVERSAL
7P00183786OTHERFLRAILROAD
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
901019OTHERFLBCBS

General Provider Information

NPI Number : 1679541999
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOSEPH KRZYZKOWSKI M.D.
Provider Business Mailing Address
First Line : 5955 RAND BLVD.
Second Line : TIDEWELL HOSPICE AND PALLIATIVE CARE
City : SARASOTA
State : FL
Zip : 34238-5160
Country : US
Telephone Number : 941-923-5822
Fax Number : 941-925-0969
Provider Business Practice Location Address
First Line : 5955 RAND BLVD.
Second Line : TIDEWELL HOSPICE AND PALLIATIVE CARE
City : SARASOTA
State : FL
Zip : 34238-5160
Country : US
Telephone Number : 941-923-5822
Fax Number : 941-925-0969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2006
Last Update Date : 03/29/2010

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