Individual
DANIEL J CEGLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1941
(866) 552-6557
(866) 797-6949
Mailing address
1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1941
(904) 513-5824
(866) 797-6949
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301080382
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301080382
MI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
171734
FL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
181231
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
2021-01167
NC
2084P0802X
Addiction Psychiatry Physician
2021-01167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00168451
RAILROAD MEDICARE
MI
Enumeration date
07/12/2006
Last updated
05/16/2025
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