Kozlowski, Tomasz
Kozlowski, Tomasz is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Ste 360 , Daytona Beach FL 32114-2757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Kozlowski, Tomasz can be contacted via phone (386) 425-4650.Contact Information
Primary practice address
311 N Clyde Morris Blvd Ste 360
Daytona Beach FL 32114-2757
Phone: (386) 425-4650
Fax: (386) 425-7510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME139131 | Florida |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | ME139131 | Florida |
Profile Details
| NPI number | 1114974664 |
|---|---|
| LBN Legal business name | Kozlowski, Tomasz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Apr 12th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114974664 | NPPES |
| Maryland | MEDICAID | 403029000 | |
| Maryland | Other | 5901586 |
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