Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP3110882 | FL |
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP3110882 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP3110882 | FL |
NPI | 1295715183 |
---|---|
Provider Name | Mr. Gregory A Kazmierski |
First Address | Gainesville, FL 32605-4524 |
Second Address | Gainesville, FL 32605-4524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 12/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CM8550 | MEDICARE RR (01) | FL |
P88478 | (02) | FL |