Organization
IKNA KRYSIAK DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKNA KRYSIAK DO (OWNER)
(312) 860-8447
Entity
Organization
Contact information
Practice address
3001 NW 49TH AVE STE 303, LAUDERDALE LAKES, FL 33313-7263
(954) 714-0684
(954) 714-4993
Mailing address
3001 NW 49TH AVE STE 303, LAUDERDALE LAKES, FL 33313-7263
(954) 714-0684
(954) 714-4993
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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