JERZY GRZEBIELUCH, MD, LLC
NPI 1447809298
Clinic/Center in Fort Walton Beach, FL

Active since September 04, 2019
4 2ND ST SE, FORT WALTON BEACH, FL 32548(850) 864-2008(850) 864-5008 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerzy Grzebieluch, Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERZY GRZEBIELUCH, MD, LLC (NPI 1447809298) is a healthcare organization registered as a clinic/center in Fort Walton Beach, Florida and active in the NPI registry since September 2019. The organization lists Jerzy Grzebieluch, Owner, as its authorized official.

NPPES Registry Identity

NPI1447809298
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJERZY GRZEBIELUCH, MD, LLC
Location Address4 2ND ST SEFort Walton Beach, FL 32548-5502
Mailing Address4 2nd St SeFort Walton Beach, FL 32548-5502 · (850) 864-2008 · Fax (850) 864-5008
Fax(850) 864-5008
Organization SubpartNo
Authorized OfficialJerzy GrzebieluchOwner · (850) 864-2008
Enumeration DateSeptember 4, 2019
NPI 1447809298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4 2ND ST SE, Fort Walton Beach, FL 32548

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
4 2ND ST SE
FORT WALTON BEACH, FL 32548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerzy Grzebieluch, MD, LLC's NPI number?

The NPI number for Jerzy Grzebieluch, MD, LLC is 1447809298. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Jerzy Grzebieluch, MD, LLC located?

Jerzy Grzebieluch, MD, LLC is located at 4 2nd St SE, Fort Walton Beach, FL 32548. The listed phone number is (850) 864-2008.

What is Jerzy Grzebieluch, MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jerzy Grzebieluch, MD, LLC was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.