Kwiatkowski, Terease E

Kwiatkowski, Terease E is an individual health care provider with primary practice located at 255 Fortenberry Rd A-1, Merritt Island FL 32952-3601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kwiatkowski, Terease E can be contacted via phone (321) 459-1192.

Contact Information

Primary practice address
255 Fortenberry Rd A-1 Merritt Island FL 32952-3601
Phone: (321) 459-1192
Fax: (321) 459-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME76969 Florida

Profile Details

NPI number 1881659282
LBN Legal business name Kwiatkowski, Terease E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 14th, 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 1881659282 NPPES
Florida MEDICAID 255238801

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