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Individual
DR. MARK A NOWACKI
Active
Individual
DR. MARK A NOWACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0060591
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12884
BC/BS
FL
01
—
1710076138
BCBS
FL
05
—
1710076138
—
FL
01
—
21980510
WORKMAN'S COMP
FL
01
—
2503431
GHI
FL
01
—
3348283004
CIGNA
FL
05
—
372504900
—
FL
01
—
4530901
AETNA
FL
01
—
593617364
BEECH STREET
FL
Enumeration date
10/12/2006
Last updated
05/03/2024
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