Provider Demographics
NPI:1598044935
Name:KATARZYNA M. OSTRZENSKA M.D. PA
Entity Type:Organization
Organization Name:KATARZYNA M. OSTRZENSKA M.D. PA
Other - Org Name:BAY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATARZYNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:OSTRZENSKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-343-6606
Mailing Address - Street 1:7001 CENTRAL AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-7555
Mailing Address - Country:US
Mailing Address - Phone:727-343-6606
Mailing Address - Fax:727-341-0121
Practice Address - Street 1:7001 CENTRAL AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-7555
Practice Address - Country:US
Practice Address - Phone:727-343-6606
Practice Address - Fax:727-341-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81553207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH27838Medicare UPIN