Basic Information
| Provider Information | |||||||||
| NPI: | 1932756178 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES R PIORKOWSKI MD LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1040 GULF BREEZE PKWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | GULF BREEZE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325617808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8508074200 | ||||||||
| FaxNumber: | 8509168499 | ||||||||
| Practice Location | |||||||||
| Address1: | 4012 N 9TH AVE | ||||||||
| Address2: | |||||||||
| City: | PENSACOLA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325032824 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8508074200 | ||||||||
| FaxNumber: | 8509168499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2019 | ||||||||
| LastUpdateDate: | 02/17/2020 | ||||||||
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| AuthorizedOfficialLastName: | PIORKOWSKI | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8508074200 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 02/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XS0106X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
No ID Information.