# GIANNA KONDZIELAWA

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

## Provider details

- **NPI number:** 1245935154
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 9117612 | FL | Yes |
| 363AS0400X | Surgical Physician Assistant | PA9117612 | FL | — |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 12/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 126078900 | — | FL |
| 01 | — | KRPJP | BCBS | FL |
