Elizabeth Krochak Md Pa

NPI 1306857776 - Family Medicine - 207Q00000X

NPI Details
NPI 1306857776
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ELIZABETH MARIE ELIZABETH
Position MEDICAL DOCTOR
Phone (386) 673-5561
Fax (386) 672-3192
Practice Location
106 N OLD KINGS RD
SUITE B
ORMOND BEACH FL, 32174, US
Phone (386) 673-5561
Fax (386) 672-3192
Business Location
106 N OLD KINGS RD
SUITE B
ORMOND BEACH FL, 32174, US
Phone (386) 673-5561
Fax (386) 672-3192
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME46477
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According to our database, Elizabeth Krochak Md Pa NPI is 1306857776, taxonomy code is 207Q00000X and license number is ME46477, license state is located at Florida. Elizabeth Krochak Md Pa physically located at 106 N Old Kings Rd, Ormond Beach FL, 32174. NPI Number 1033115704 has the healthcare provider type.

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1306857776 NPI number is provided on an as is basis without warranty of any kind. 1306857776 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Krochak Md Pa are for informational purposes only.