Provider Demographics
NPI:1912993114
Name:KRUSZEL, BERNARDO D (MD)
Entity Type:Individual
Prefix:
First Name:BERNARDO
Middle Name:D
Last Name:KRUSZEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:16146 POPPYSEED CIR
Mailing Address - Street 2:#1102
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6329
Mailing Address - Country:US
Mailing Address - Phone:561-819-0497
Mailing Address - Fax:561-819-0498
Practice Address - Street 1:1607 NW FEDERAL HWY
Practice Address - Street 2:#B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-9600
Practice Address - Country:US
Practice Address - Phone:772-692-8082
Practice Address - Fax:772-232-9211
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2011-06-30
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Provider Licenses
StateLicense IDTaxonomies
FLME64940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375092200Medicaid
FL25139YMedicare ID - Type Unspecified
FL375092200Medicaid