Kozlowski, Tomasz

Kozlowski, Tomasz is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Ste 360 , Daytona Beach FL 32114-2757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Kozlowski, Tomasz can be contacted via phone (386) 425-4650.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Ste 360 Daytona Beach FL 32114-2757
Fax: (386) 425-7510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME139131 Florida
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X ME139131 Florida

Profile Details

NPI number 1114974664
LBN Legal business name Kozlowski, Tomasz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Apr 12th, 2019 - about 5 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 1114974664 NPPES
Maryland MEDICAID 403029000
Maryland Other 5901586

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