Provider Demographics
NPI:1073624102
Name:NEGROSKI, DONALD (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:NEGROSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5741 BEE RIDGE RD STE 530
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5061
Mailing Address - Country:US
Mailing Address - Phone:941-487-2160
Mailing Address - Fax:947-487-2170
Practice Address - Street 1:5741 BEE RIDGE RD STE 530
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5061
Practice Address - Country:US
Practice Address - Phone:941-487-2160
Practice Address - Fax:947-487-2170
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME461992084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D56981Medicare UPIN