MARIA FERNANDA KONIECZKO (NPI# 1891095196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891095196 |
| Entity Type | Individual |
| Full Name | MARIA FERNANDA KONIECZKO |
| Practice Address |
9135 Saddlecreek Dr Boca Raton FL 33496-1892 |
| Practice Telephone | 6302420420 |
| Mailing Telephone | 6302420420 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9135 SADDLECREEK DR |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-1892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665522 | Prissy Graciela Rampaly Rangel | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433 | 2018-07-14 |
| 1962529800 | Kathleen A Duffy | Physician Assistant | 1211 Nw 15th St, Boca Raton, FL 33486-1204 | 2007-03-24 |
| 1861541096 | Michele A. Mysnyk-deangelo | Physician Assistant | 951 Broken Sound Pkwy Ste 115, Boca Raton, FL 33487-3531 | 2007-01-09 |
| 1881762573 | Craig Sprenger | Physician Assistant | 1398 Sw 18th St, Boca Raton, FL 33486-6634 | 2006-12-01 |
| 1891801171 | Charles Jacob Strader Jr. | Physician Assistant | 621 Nw 53rd St, Suite 330, Boca Raton, FL 33487 | 2006-08-21 |
| 1134764830 | Unidad De La Mujer LLC | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433-5666 | 2019-11-18 |
| 1881049302 | Ashley Lelchuk | Physician Assistant | 670 Glades Rd, Suite #300, Boca Raton, FL 33431-6461 | 2016-05-03 |
| 1174992465 | Matthew Earhart | Physician Assistant | 7301a W Palmetto Park Rd, #100b, Boca Raton, FL 33433-3409 | 2015-09-17 |
| 1578804183 | Ronald Jay Kerble | Physician Assistant | 825 Meadows Rd, Suite #111, Boca Raton, FL 33486 | 2013-03-06 |
| 1952610461 | Amy Miriam Forleiter | Physician Assistant | 670 Glades Rd Ste 220, Boca Raton, FL 33431-6464 | 2010-09-30 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
Please comment or provide details below to improve the information on MARIA FERNANDA KONIECZKO.
| 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.