Provider Demographics
NPI:1558556613
Name:ZBIGNIEW JACOB LITWINCZUK MD PA
Entity Type:Organization
Organization Name:ZBIGNIEW JACOB LITWINCZUK MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZBIGNIEW
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:LITWINCZUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-662-5040
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-0446
Mailing Address - Country:US
Mailing Address - Phone:561-662-5040
Mailing Address - Fax:561-662-8833
Practice Address - Street 1:3365 BURNS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4326
Practice Address - Country:US
Practice Address - Phone:561-662-5040
Practice Address - Fax:561-662-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88024207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH22279Medicare UPIN
FLAF453Medicare PIN