| Doctor Name: | MS. MICHELLE M KRAWCZYK |
| NPI Number: | 1073501805 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 3053152 |
| Business Practice Address: | 1375 Roberts Dr Suite 103 Jacksonville Beach, FL - 322503210 |
| Business Phone Number: | 9049973800 |
| Business Fax Number: | 9049979899 |
| Mailing Address: | 9143 Philips Hwy, Ste 560 JACKSONVILLE |
| State: | FL |
| Postal Code: | 322561348 |
| Phone Number: | 9043632113 |
| Fax Number: | 9045383672 |
| NPI Enumeration Date: | 10/06/2005 |
| NPI Last Update Date: | 08/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP 3053152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |