Provider Demographics
NPI:1265467716
Name:LITWINCZUK, ZBIGNIEW JACOB (MD)
Entity Type:Individual
Prefix:DR
First Name:ZBIGNIEW
Middle Name:JACOB
Last Name:LITWINCZUK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 INTRACOASTAL POINTE DR
Mailing Address - Street 2:STE 200
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5036
Mailing Address - Country:US
Mailing Address - Phone:561-744-7720
Mailing Address - Fax:561-744-7753
Practice Address - Street 1:108 INTRACOASTAL POINTE DR
Practice Address - Street 2:STE 200
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5036
Practice Address - Country:US
Practice Address - Phone:561-744-7720
Practice Address - Fax:561-744-7753
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME999999207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
71274XMedicare PIN
FLH22279Medicare UPIN