RADOSLAW JAKUB CZAJKOWSKI (NPI# 1245460419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245460419 |
| Entity Type | Individual |
| Full Name | RADOSLAW JAKUB CZAJKOWSKI |
| Credential | M.D. |
| Practice Address |
1840 S Washington Ave Titusville FL 32780 |
| Mailing Address |
7925 N Wickham Rd Ste A Melbourne FL 32940-8211 |
| Practice Telephone | 3213605577 |
| Mailing Telephone | 3217517222 |
| Mailing Fax Number | 3217516655 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME129106 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 733884 | 05 | |
| MEDICARE | ZFQ31815 | 01 |
| Street Address |
1840 S WASHINGTON AVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255512000 | Candice Maria Vaknin | Registered Nurse | 1840 S Washington Ave, Titusville, FL 32780-3278 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400207 | Elizabeth Hardin | Chiropractor | Florida Sports and Spinal Rehab, 3910 S. Washington Ave., Titusville, FL 32780 | 2020-06-01 |
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1427566819 | Marlene Joyce Rosenzweig | Home Health | 1415 Thornton Avenue, Titusville, FL 32780 | 2018-01-19 |
| 1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
| 1982122586 | Annie Durand | Physical Therapist | 4352 Derbyshire Drive, Titusville, FL 32780 | 2017-09-03 |
| 1205352341 | Hearing Healthcare Solutions, Inc. | Hearing Instrument Specialist | 2625 Barna Ave, Suite J, Titusville, FL 32780 | 2017-08-21 |
| 1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
| 1235500471 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3135 Columbia Blvd, Suite 100, Titusville, FL 32780 | 2015-10-14 |
| 1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
| 1609267939 | Bykota Acupuncture | Acupuncturist | 1007 South Washington Ave, Titusville, FL 32780 | 2015-02-09 |
| Find all providers in zip 32780 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173375 | Shaun-pierre A Gregoire | Family Medicine | 1505 Knox Mcrae Drive, Titusville, FL 32780 | 2013-06-11 |
| 1063655041 | Anita D Spitz M D P A | Family Medicine | 500 North Washington Ave., Suite 103, Titusville, FL 32796-2759 | 2009-04-07 |
| 1104928167 | Maria C Torres | Family Medicine | 766 Country Club Dr, Titusville, FL 32780-4900 | 2006-09-01 |
| 1104858869 | Christopher Lee Macdonald | Family Medicine | 401 W Spring St, Titusville, PA 16354-2169 | 2006-07-06 |
| 1003842048 | James T Nichols | Family Medicine | 1315 Garden St, Titusville, FL 32796-3312 | 2006-06-23 |
| 1497718456 | Timothy D Hartwig | Family Medicine | 702 Country Club Dr, Parrish Medical Group, Titusville, FL 32780-4979 | 2006-04-10 |
| 1245299098 | Authrine Chevanne Whyte | Family Medicine | 1849 Jess Parrish Ct, Titusville, FL 32796-2123 | 2006-03-21 |
| 1932173366 | William Robert Sonnenberg | Family Medicine | 119 East Mechanic Street, Titusville, PA 16354 | 2006-02-14 |
| 1275519928 | Deborah Malone | Family Medicine | 4420 S Hopkins Ave, Titusville, FL 32780 | 2005-12-15 |
| 1811988785 | Anthony Kinsella | Family Medicine | 1855 Knox Mcrae Dr, Titusville, FL 32780 | 2005-10-31 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32780 |
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| 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.