Provider Demographics
NPI:1194806471
Name:KASIA OSADZINSKA MD PL
Entity type:Organization
Organization Name:KASIA OSADZINSKA MD PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSADZINSKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-219-9644
Mailing Address - Street 1:1910 BUFORD BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4667
Mailing Address - Country:US
Mailing Address - Phone:850-219-9644
Mailing Address - Fax:850-219-9645
Practice Address - Street 1:1910 BUFORD BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4667
Practice Address - Country:US
Practice Address - Phone:850-219-9644
Practice Address - Fax:850-219-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty