Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | PT26981 | FL |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT26981 | FL |
NPI | 1063942092 |
---|---|
Provider Name | Martin Daszykowski |
First Address | Palm Harbor, FL 34685-3142 |
Second Address | Clearwater, FL 33761-1538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2017 |
Last Update Date | 21/01/2022 |