Individual
DR. TOMASZ KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 N CLYDE MORRIS BLVD STE 360, DAYTONA BEACH, FL 32114-2757
(386) 425-4650
(386) 425-7510
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-0141
(386) 226-4577
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
ME139131
FL
208600000X
Surgery Physician
ME139131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403029000
—
MD
01
—
5901586
MPN
NC
Enumeration date
05/30/2006
Last updated
04/12/2019
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