Provider Demographics
NPI:1073041778
Name:KRZNARIC, ERIC PAUL (DPM)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:PAUL
Last Name:KRZNARIC
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 GOODLETTE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5457
Mailing Address - Country:US
Mailing Address - Phone:239-745-5929
Mailing Address - Fax:239-263-8435
Practice Address - Street 1:681 GOODLETTE RD STE 160
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5457
Practice Address - Country:US
Practice Address - Phone:239-263-0200
Practice Address - Fax:239-263-8435
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC007063213E00000X
FLPO4288213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist