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Organization
WALTER J SZYDLOWSKI JR MD PA
Active
Organization
WALTER J SZYDLOWSKI JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER J SZYDLOWSKI JR. MD (OWNER/ PRACTITIONER)
(352) 596-1600
Entity
Organization
Contact information
Practice address
11347 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 596-1600
(352) 596-4655
Mailing address
11347 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 596-1600
(352) 596-4655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME45152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110011399
RR MEDICARE
FL
Enumeration date
09/14/2009
Last updated
07/22/2010
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