Provider Demographics
NPI:1548308422
Name:FLORCZYK, ADRIENNE MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:MARIE
Last Name:FLORCZYK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10731 NW 55TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2765
Mailing Address - Country:US
Mailing Address - Phone:954-344-5414
Mailing Address - Fax:
Practice Address - Street 1:6001 CORAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3306
Practice Address - Country:US
Practice Address - Phone:954-341-2070
Practice Address - Fax:954-757-8284
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3112152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist