Bartoszek, Agnes Katarzyna

Bartoszek, Agnes Katarzyna is an individual health care provider with primary practice located at 12180 28Th St N , St Petersburg FL 33716-1820. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Bartoszek, Agnes Katarzyna can be contacted via phone (727) 572-5449.

Contact Information

Primary practice address
12180 28Th St N St Petersburg FL 33716-1820
Phone: (727) 572-5449
Fax: (727) 573-2048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3097 Florida

Profile Details

NPI number 1558361097
LBN Legal business name Bartoszek, Agnes Katarzyna
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated May 11th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558361097 NPPES
Florida MEDICAID 340504400

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