Organization · Type 2 NPI

Jerzy Grzebieluch, Md, LLC

Clinic/Center · Fort Walton Beach, FL

NPI number 1447809298 Active

Practice location

4 2nd St SE
Fort Walton Beach, FL 32548-5502

Call (850) 864-2008 Map

Fax (850) 864-5008

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1447809298

Jerzy Grzebieluch, Md, LLC's National Provider Identifier is 1447809298, issued on Sep 4, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Sep 4, 2019.