Kwiatkowski, Terease E
Kwiatkowski, Terease E is an individual health care provider with primary practice located at 255 Fortenberry Rd A-1, Merritt Island FL 32952-3601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kwiatkowski, Terease E can be contacted via phone (321) 459-1192.Contact Information
Primary practice address
255 Fortenberry Rd A-1
Merritt Island FL 32952-3601
Phone: (321) 459-1192
Fax: (321) 459-2304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME76969 | Florida |
Profile Details
| NPI number | 1881659282 |
|---|---|
| LBN Legal business name | Kwiatkowski, Terease E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jan 14th, 2009 - about 17 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 | 1881659282 | NPPES |
| Florida | MEDICAID | 255238801 |
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