Provider Demographics
NPI:1063592376
Name:OSADZINSKA, KASIA (MD)
Entity type:Individual
Prefix:
First Name:KASIA
Middle Name:
Last Name:OSADZINSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 E SPRINGTREE WAY
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-6012
Mailing Address - Country:US
Mailing Address - Phone:850-322-2706
Mailing Address - Fax:
Practice Address - Street 1:402 E SPRINGTREE WAY
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6012
Practice Address - Country:US
Practice Address - Phone:850-322-2706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97230208600000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery