Mary Kedrowski (NPI# 1629483508, PAC ID# 4486973104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1629483508 |
| PAC ID by PECOS | 4486973104 |
| Professional Enrollment ID | I20191025002253 |
| Full Name | Mary Kedrowski |
| Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Address |
3140 Nw Medical Ctr Ln Suite 120 Lake City FL 32055-4735 |
| Phone Number | 3867556682 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5799881660 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100156 | LAKE CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3140 Nw Medical Ctr Ln, Suite 120, Lake City, FL 32055-4735 | 3867556682 | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Organization Legal Name | SOUTH FLORIDA SURGICAL SPECIALISTS LLC |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha Lee Tate- Kennedy | Nurse Practitioner | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
| Wilson Dumornay | Otolaryngology | South Florida Surgical Specialists LLC | 4101 S Hospital Dr, Suite 14, Plantation, FL 33317-2830 |
| Alejandro T Soler | General Surgery | South Florida Surgical Specialists LLC | 3140 Nw Medical Ctr Ln, Suite 120, Lake City, FL 32055-4735 |
| Bernardo M Johr | Vascular Surgery | South Florida Surgical Specialists LLC | 601 N Flamingo Rd, Suite 319, Pembroke Pines, FL 33028-1011 |
| David Porudominsky | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Brian Schmidt | General Surgery | South Florida Surgical Specialists LLC | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 |
| Ronald L Stricoff | General Surgery | South Florida Surgical Specialists LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Joseph P Corallo Jr. | Colorectal Surgery (proctology) | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Aeyal Oren | General Surgery | South Florida Surgical Specialists LLC | 201 Nw 82nd Ave, Suite 301, Plantation, FL 33324-1839 |
| Bernard J Zaragoza | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Street Address |
3140 NW MEDICAL CTR LN SUITE 120 |
| City | LAKE CITY |
| State | FL |
| Zip | 32055-4735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alejandro T Soler | General Surgery | South Florida Surgical Specialists LLC | 3140 Nw Medical Ctr Ln, Suite 120, Lake City, FL 32055-4735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Matthew Zaenglein | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Caleb A Awoniyi | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Myroslav Harasym | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Mark Alan Dobbertien | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Anthony B Chillura | Anesthesiology | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Laurence Evan Reitman | Diagnostic Radiology | Fands Radiology PC | 368 Ne Franklin St, C/o Radiology Dept, Lake City, FL 32055-3088 |
| Bryce R Tiller | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Christopher Johnson | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Stanley W Janasiewicz | Emergency Medicine | Columbia Emergency Group LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Cimaron E Holt | Certified Registered Nurse Anesthetist (crna) | Ams National LLC | 368 Ne Franklin St, Lake City, FL 32055-3088 |
| Find all physicians in zip 32055 | |||
| City | LAKE CITY |
| Zip Code | 32055 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LAKE CITY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mary Kedrowski.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.