Jerzy Grzebieluch in Fort Walton Beach - Psychiatry
Jerzy Grzebieluch - NPI 1740397025
Jerzy Grzebieluch is a Psychiatry in Fort Walton Beach, Florida. Jerzy Grzebieluch practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jerzy Grzebieluch is 1740397025. The last update date is 2023-03-07.
Jerzy Grzebieluch's current location address is 4 2nd St Se, Fort Walton Beach, Florida. You can contact this provider via phone number 8508642008 and fax number 8508645008. The mailing address for Jerzy Grzebieluch is 4 2nd St Se, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerzy Grzebieluch |
|---|---|
| Address | 4 2nd St Se, Fort Walton Beach, Florida |
| Phone Number | 8508642008 |
| Fax Number | 8508645008 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740397025 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 4 2nd St Se |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325485502 |
| Phone Number | 8508642008 |
| Fax Number | 8508645008 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME82784 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53114 | FL | SPECIALITY LICENSE | |
| 13115 | FL | BCBS OF FLORIDA | |
| ME 82784 | FL | FLORIDA LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerzy Grzebieluch?
The Jerzy Grzebieluch has been issued the NPI (National Provider Identifier) 1740397025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jerzy Grzebieluch is geographically located?
The Jerzy Grzebieluch is physically situated at the following location: 4 2Nd St Se, Fort Walton Beach, FL, 325485502.
What is the Jerzy Grzebieluch's specialty and taxonomy code?
The Jerzy Grzebieluch's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740397025 to Jerzy Grzebieluch?
The Jerzy Grzebieluch received its 1740397025 assignment from the Centers for Medicare & Medicaid Services on 2006-08-24.
When was the information regarding Jerzy Grzebieluch most recently updated?
The details pertaining to the Jerzy Grzebieluch, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.