Organization · Type 2 NPI
Marta Jacenyik LLC
Adult Medicine Physician · Gulf Breeze, FL
NPI number
1366589780
Active
Practice location
3759 Bengal Rd
Gulf Breeze, FL 32563-3454
Mailing address
PO Box 1171
Gulf Breeze, FL 32562-1171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | ME67496 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1366589780
Marta Jacenyik LLC's National Provider Identifier is 1366589780, issued on Feb 1, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Gulf Breeze, FL. The record was last updated on Mar 3, 2014.