Ksycki, Michael F

Ksycki, Michael F is an individual health care provider with primary practice located at 1611 Nw 12Th Ave , Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Ksycki, Michael F can be contacted via phone (305) 585-1288.

Contact Information

Primary practice address
1611 Nw 12Th Ave Miami FL 33136-1005
Fax: (305) 585-0142
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS10488 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X OS10488 Florida

Profile Details

NPI number 1194975334
LBN Legal business name Ksycki, Michael F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2008
Last updated Apr 11th, 2011 - about 14 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 1194975334 NPPES
Florida MEDICAID 0005551-00

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