Provider Demographics
NPI:1245480102
Name:TORONCZYK, KAREN V (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:V
Last Name:TORONCZYK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7111 FAIRWAY DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4204
Mailing Address - Country:US
Mailing Address - Phone:800-330-6565
Mailing Address - Fax:561-712-7349
Practice Address - Street 1:2001 KINGSLEY AVE
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5148
Practice Address - Country:US
Practice Address - Phone:904-276-8517
Practice Address - Fax:904-276-8611
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA235605207ZP0102X
FLME105472207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA510647174AMedicaid
FL0013856-00Medicaid
FLCY844ZMedicare PIN
GA510647174AMedicaid