# EUGENE WAWRZYNIAK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053397141
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME39665 | FL | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 12/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0494928 | AETNA | FL |
| 01 | — | 05457 | BLUE CROSS BLUE SHIELD | FL |
| 05 | — | 066637800 | — | FL |
| 01 | — | 0877387002 | CIGNA | FL |
| 01 | — | 160041145 | RAILROAD MEDICARE | FL |
| 01 | — | 22815 | WELLCARE | FL |
| 01 | — | 4038991 | AETNA | FL |