Basic Information
Provider Information
NPI: 1073624102
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEGROSKI
FirstName: DONALD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5741 BEE RIDGE RD STE 530
Address2:  
City: SARASOTA
State: FL
PostalCode: 342335061
CountryCode: US
TelephoneNumber: 9414872160
FaxNumber: 9474872170
Practice Location
Address1: 5741 BEE RIDGE RD STE 530
Address2:  
City: SARASOTA
State: FL
PostalCode: 342335061
CountryCode: US
TelephoneNumber: 9414872160
FaxNumber: 9474872170
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 02/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XME46199FLY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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