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Individual
DR. JOHN ANDREW PODLASKI
Active
Individual
DR. JOHN ANDREW PODLASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., DACBN,DABCI
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
4801
FL
111NN1001X
Nutrition Chiropractor
4801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55690
BCBS
FL
01
—
BG080Z
MEDICARE
FL
Enumeration date
08/17/2006
Last updated
01/21/2010
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