Krawczyk, Michelle M

Krawczyk, Michelle M is an individual health care provider with primary practice located at 1375 Roberts Dr Suite 103, Jacksonville Beach FL 32250-3210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Krawczyk, Michelle M can be contacted via phone (904) 997-3800.

Contact Information

Primary practice address
1375 Roberts Dr Suite 103 Jacksonville Beach FL 32250-3210
Phone: (904) 997-3800
Fax: (904) 997-9899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 3053152 Florida

Profile Details

NPI number 1073501805
LBN Legal business name Krawczyk, Michelle M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Aug 16th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073501805 NPPES
Florida MEDICAID 306356900

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