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Individual

MS. MICHELLE M KRAWCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1375 ROBERTS DR, SUITE 103, JACKSONVILLE BEACH, FL 32250-3210
(904) 997-3800
(904) 997-9899
Mailing address
9143 PHILIPS HWY, STE 560, JACKSONVILLE, FL 32256-1348
(904) 363-2113
(904) 538-3672

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 3053152
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306356900
FL
Enumeration date
10/06/2005
Last updated
08/16/2011
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