# ELIZABETH KROCHAK MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306857776
- **Authorized official:** DR. ELIZABETH MARIE KROCHAK MD (MEDICAL DOCTOR)
- **Authorized official phone:** (386) 673-5361

## Contact information

- **Practice address:** 106 N OLD KINGS RD, SUITE B, ORMOND BEACH, FL 32174
- **Practice address phone:** (386) 673-5561
- **Practice address fax:** (386) 672-3192
- **Mailing address:** 106 N OLD KINGS RD, SUITE B, ORMOND BEACH, FL 32174
- **Mailing address phone:** (386) 673-5561
- **Mailing address fax:** (386) 672-3192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME46477 | FL | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 08/22/2020