# AESCULAP MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** aesculap medical clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770201063
- **Authorized official:** KRZYSZTOF T LEWANDOWSKI MD (OWNER)
- **Authorized official phone:** (850) 215-5310

## Contact information

- **Practice address:** 2101 NORTHSIDE DR UNIT 601, PANAMA CITY, FL 32405-3687
- **Practice address phone:** (850) 215-5310
- **Practice address fax:** (850) 215-0159
- **Mailing address:** 2101 NORTHSIDE DR UNIT 601, PANAMA CITY, FL 32405-3687
- **Mailing address phone:** (850) 215-5310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/22/2022
- **Last updated:** 01/20/2023