Pieta, Jacek Henryk
Pieta, Jacek Henryk is an individual health care provider with primary practice located at 1726 Medical Blvd Suite 101, Naples FL 34110. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pieta, Jacek Henryk can be contacted via phone (239) 624-8250.Contact Information
Primary practice address
1726 Medical Blvd Suite 101
Naples FL 34110
Phone: (239) 624-8250
Fax: (239) 624-8251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036087837 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036087837 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME153904 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036087837 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME153904 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME153904 | Florida |
Profile Details
| NPI number | 1821056540 |
|---|---|
| LBN Legal business name | Pieta, Jacek Henryk |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | May 6th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821056540 | NPPES |
| Florida | MEDICAID | 118420400 | |
| Florida | Other | 02215074 | |
| Florida | MEDICAID | 036087837 |
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