# MK SURGICAL SERVICE INC

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

## Provider details

- **NPI number:** 1679160535
- **Authorized official:** MARIA F KONIECZKO CSA (OWNER)
- **Authorized official phone:** (630) 242-0420

## Contact information

- **Practice address:** 2121 N OCEAN BLVD APT 306W, BOCA RATON, FL 33431-7876
- **Practice address phone:** (630) 242-0420
- **Mailing address:** 2121 N OCEAN BLVD APT 306W, BOCA RATON, FL 33431-7876
- **Mailing address phone:** (630) 242-0420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2020
- **Last updated:** 01/07/2021