Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME65298 | FL |
N | 111NI0900X | Internist | ME65298 | FL |
N | 207RR0500X | Rheumatology | ME65298 | FL |
NPI | 1063596047 |
---|---|
Provider Name | Miss Barbara Helena Czelusniak |
First Address | Zephyrhills, FL 33540 |
Second Address | Zephyrhills, FL 33540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
26481 | BCBS (01) | |
F00427 | (02) |