Organization
MK SURGICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA F KONIECZKO CSA (OWNER)
(630) 242-0420
Entity
Organization
Contact information
Practice address
2121 N OCEAN BLVD APT 306W, BOCA RATON, FL 33431-7876
(630) 242-0420
Mailing address
2121 N OCEAN BLVD APT 306W, BOCA RATON, FL 33431-7876
(630) 242-0420
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
01/07/2021
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