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Individual
DR. MICHAEL CRAIG ORWASKY
Active
Individual
DR. MICHAEL CRAIG ORWASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2204
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078028600
—
FL
01
—
410027861
RRB MEDICARE
FL
05
—
620290000
—
FL
01
—
650470707
TAX ID #
FL
Enumeration date
03/17/2006
Last updated
12/21/2016
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