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1972538106

NPI Code Detail

MEDICARE: DANIEL J CEGLOWSKI MD

MEDICARE: DANIEL J CEGLOWSKI 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
1	207L00000X	Anesthesiology Physician	4301080382	MI
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	4301080382	MI
3	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	2021-01167	NC
4	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	181231	CA
5	2084P0802X	Addiction Psychiatry Physician	2021-01167	NC
6	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	171734	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00168451	OTHER	MI	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1972538106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J CEGLOWSKI MD

Provider Business Mailing Address
First Line	:	1900 CORPORATE SQUARE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-1941
Country	:	US
Telephone Number	:	904-513-5824
Fax Number	:	866-797-6949

Provider Business Practice Location Address
First Line	:	1900 CORPORATE SQUARE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-1941
Country	:	US
Telephone Number	:	866-552-6557
Fax Number	:	866-797-6949

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	05/16/2025

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Directions to “ DANIEL J CEGLOWSKI MD” Practice Location

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