| Ikna Krysiak Do Llc | |
|
3001 Nw 49th Ave Ste 303 Lauderdale Lakes FL 33313-7263 | |
| (954) 714-0684 | |
| (954) 714-4993 |
| Full Name | Ikna Krysiak Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3001 Nw 49th Ave Ste 303, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Ikna Krysiak (OWNER) |
| Authorized Official Contact | 3128608447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikna Krysiak Do Llc 3001 Nw 49th Ave Ste 303 Lauderdale Lakes FL 33313-7263 Ph: (954) 714-0684 | Ikna Krysiak Do Llc 3001 Nw 49th Ave Ste 303 Lauderdale Lakes FL 33313-7263 Ph: (954) 714-0684 |
| NPI Number | 1528772860 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 3072985589 |
|---|---|
| Medicare Enrollment ID | O20230209002616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528772860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ikna M Krysiak |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578749248 PECOS PAC ID: 6204025455 Enrollment ID: I20131008001466 |
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