Dr Kristoffer Thomas Surdukowski, PT, DPT is a
Physical Therapist physician based in Tyndall Afb, Florida. Dr Kristoffer Thomas Surdukowski is licensed to practice in Delaware (license number J1-0002487) and his current practice location is 340 Magnolia Cir, Tyndall Afb, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 283-7019.
NPI number for Dr Kristoffer Thomas Surdukowski is 1821338104 and his current mailing address is 340 Magnolia Cir, Tyndall Afb, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821338104.
Physician's Profile
| Full Name | Dr Kristoffer Thomas Surdukowski |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 340 Magnolia Cir, Tyndall Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821338104
- Provider Enumeration Date: 02/22/2013
- Last Update Date: 07/07/2022
Medical Identifiers
Medical identifiers for Dr Kristoffer Thomas Surdukowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821338104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | J1-0002487 (Delaware) | Secondary |
| 225100000X | Physical Therapist | J1-0002487 (Delaware) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristoffer Thomas Surdukowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kristoffer Thomas Surdukowski, PT, DPT
340 Magnolia Cir,
Tyndall Afb, FL 32403-5604
Ph: (850) 283-7019 | Dr Kristoffer Thomas Surdukowski, PT, DPT
340 Magnolia Cir,
Tyndall Afb, FL 32403-5604
Ph: (850) 283-7019 |
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