MARTA JACENYIK LLC NPI 1366589780

NPI Information

NPI: 1366589780
Provider Name: MARTA JACENYIK LLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
3759 BENGAL RD
GULF BREEZE, FL
ZIP 32563
Phone: (850) 934-9866
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MARTA JACENYIK LLC is an adult medicine family medicine in Gulf Breeze, FL. The provider is definition to come. MARTA JACENYIK LLC NPI is 1366589780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3759 BENGAL RD
GULF BREEZE, FL
ZIP 32563-454
Phone: (850) 934-9866

The provider's authorized official is Marta Jacenyik .
The authorized official title is President and has the following contact phone number (850) 934-9866.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 3/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	ME67496	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BJ53792	MEDICARE UPIN	FLORIDA
2	K3333	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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