Gerald A Niedzwiecki Md Pa
LBN: Gerald A Niedzwiecki Md Pa
Gerald A Niedzwiecki Md Pa is an health care organization with primary practice located at 2730 N Mcmullen Booth Rd Suite 203, Clearwater FL 33761-3302. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is the primary health care specialty.
Gerald A Niedzwiecki Md Pa can be contacted via phone (727) 286-8929, or through Niedzwiecki, Gerald Anthony via phone (727) 791-7300.
Contact Information
Primary practice address
2730 N Mcmullen Booth Rd Suite 203
Clearwater FL 33761-3302
Phone: (727) 286-8929
Fax: (727) 286-8933
Website:
Authorized official contact:
Name: Niedzwiecki, Gerald Anthony Doctor of Medicine (MD)
Phone: (727) 791-7300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME81474 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME0070649 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME81474 | Florida |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME0070649 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | ME0070649 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PAT9104325 | Florida |
Profile Details
| NPI number | 1639318637 |
|---|---|
| LBN Legal business name | Gerald A Niedzwiecki Md Pa |
| DBA Doing business as | |
| Authorized official | Niedzwiecki, Gerald Anthony Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2009 |
| Last updated | May 29th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639318637 | NPPES |
| Florida | Other | 203364 | AVMED |
| Florida | Other | 300123717 | AVMED |
| Florida | Other | 31439 | AVMED |
| Florida | Other | 4593565 | AVMED |
| Florida | Other | 1600774 | AVMED |
| Florida | Other | 220039 | AVMED |
| Florida | MEDICAID | 250195300 | AVMED |
| Florida | Other | 2648373 | AVMED |
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