Jerzy Grzebieluch in Fort Walton Beach - Child & Adolescent Psychiatry
Jerzy Grzebieluch - NPI 1740397025
Jerzy Grzebieluch is a Child & Adolescent Psychiatry in Fort Walton Beach, Florida. Jerzy Grzebieluch practices all healthcare services and medical treatments related to Child & Adolescent 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 |
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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 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 4 2nd St Se |
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City | Fort Walton Beach |
State | Florida (FL) |
Post Code | 325485502 |
Phone Number | 8508642008 |
Fax Number | 8508645008 |
Provider's Primary Taxonomy Detail
Speciality | Child & Adolescent Psychiatry |
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Taxonomy | 2084P0804X |
Licence No | ME82784 |
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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 Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
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.