Provider Demographics
NPI:1184717563
Name:KRONZEK, DAVID S (PA-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:KRONZEK
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 MEDICAL CENTER WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-3244
Mailing Address - Country:US
Mailing Address - Phone:561-881-0066
Mailing Address - Fax:
Practice Address - Street 1:10540 MENDOCINO LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1206
Practice Address - Country:US
Practice Address - Phone:561-883-3914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA3532363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE2223TMedicare UPIN
FLBR885CMedicare PIN
FLBR885BMedicare PIN
FLBR885AMedicare PIN
FLE2223PMedicare UPIN
FLE2223SMedicare UPIN