Provider Demographics
NPI:1710017785
Name:SKRZYPEK, DANUTA (AP)
Entity Type:Individual
Prefix:
First Name:DANUTA
Middle Name:
Last Name:SKRZYPEK
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6051 3RD AVE S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1605
Mailing Address - Country:US
Mailing Address - Phone:727-347-7412
Mailing Address - Fax:727-347-7412
Practice Address - Street 1:5700 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1719
Practice Address - Country:US
Practice Address - Phone:727-488-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1556171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist