Provider Demographics
NPI:1275580292
Name:PARTYKA, BRONISLAW (MD)
Entity Type:Individual
Prefix:
First Name:BRONISLAW
Middle Name:
Last Name:PARTYKA
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 1:6801 US HIGHWAY 27 N
Mailing Address - Street 2:STE C4
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1000
Mailing Address - Country:US
Mailing Address - Phone:863-451-5794
Mailing Address - Fax:863-451-5326
Practice Address - Street 1:6801 US HIGHWAY 27 N
Practice Address - Street 2:STE C4
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1000
Practice Address - Country:US
Practice Address - Phone:863-451-5794
Practice Address - Fax:863-451-5326
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA60467207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223586664OtherNJBCBS
NJ6515908Medicaid
F91103Medicare UPIN