DR. TOMASZ KOZLOWSKI (NPI# 1114974664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114974664 |
| Entity Type | Individual |
| Full Name | DR. TOMASZ KOZLOWSKI |
| Credential | M.D. |
| Practice Address |
311 N Clyde Morris Blvd Ste 360 Daytona Beach FL 32114-2757 |
| Mailing Address |
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 |
| Practice Telephone | 3864254650 |
| Practice Fax Number | 3864257510 |
| Mailing Telephone | 3864250141 |
| Mailing Fax Number | 3862264577 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | ME139131 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ME139131 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 403029000 | 05 | |
| NC | MPN | 5901586 | 01 |
| Street Address |
311 N CLYDE MORRIS BLVD STE 360 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043416506 | Shawn Wayne Thomas | Urology | 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114-2757 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936854 | Vighnesh Vetrivel Venkatasamy | Transplant Surgery | Miami Transplant Institute, Jackson Memorial Hospital, 1611 Nw 12 Avenue, Miami, FL 33136 | 2017-08-02 |
| 1366825408 | Narendra Battula | Transplant Surgery | 1600 Sw Archer Rd # 100118, Gainesville, FL 32610-2429 | 2015-07-07 |
| 1457639528 | Rupak Dilip Kulkarni | Transplant Surgery | Division of Transplantation Dept of Surgery, Uf College of Medicine,1600 Sw Archer Rd, Gainesville, FL 32610-0118 | 2011-07-23 |
| 1073765574 | Emmanouil Palaios | Transplant Surgery | 1600 S Andrews Ave Fl 1, West Wing, Ft Lauderdale, FL 33316-2510 | 2008-10-15 |
| 1659546281 | Lynsey Allen Biondi | Transplant Surgery | 13685 Doctors Way Ste 330, Fort Myers, FL 33912-4347 | 2008-04-24 |
| 1811185135 | Ali Zarrinpar | Transplant Surgery | 1600 Sw Archer Rd Dept Of, Gainesville, FL 32610-8358 | 2007-10-11 |
| 1063629046 | Lawrence Joel Shapiro | Transplant Surgery | 4981 W Atlantic Ave, Delray Beach, FL 33445-3850 | 2007-05-17 |
| 1225191703 | Juan D Arenas | Transplant Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2006-12-18 |
| 1487727376 | Thanh Hang Khac Nguyen | Transplant Surgery | 580 S. Habana Ave., Suite 380, Tampa, FL 33609 | 2006-11-16 |
| 1528148905 | Florida Heart Lung & Transplant Surgery P L | Transplant Surgery | 4 Columbia Dr Ste 210, Tampa, FL 33606-3500 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on DR. TOMASZ KOZLOWSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.