Individual
EDWARD KENNETH PARTYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME95014
FL
207RG0100X
Gastroenterology Physician
Primary
2012009726
MO
207RG0100X
Gastroenterology Physician
ME95014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184530713A
—
GA
05
—
2745003-00
—
FL
01
—
P00303745
RAILROAD MEDICARE
FL
Enumeration date
03/08/2006
Last updated
08/10/2012
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