# EDWIN JOHN SZCZEPANIK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWIN JOHN SZCZEPANIK
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962969840
- **Legal business name:** EDWIN JOHN SZCZEPANIK
- **Authorized official:** LUCIANA MENDIOLA (ASSISTANT MANAGER)
- **Authorized official phone:** (407) 352-6888

## Contact information

- **Practice address:** 7758 WALLACE RD STE 3, ORLANDO, FL 32819-7217
- **Practice address phone:** (407) 352-6888
- **Practice address fax:** (407) 352-0560
- **Mailing address:** 7758 WALLACE RD STE 3, ORLANDO, FL 32819-7217
- **Mailing address phone:** (407) 352-6888
- **Mailing address fax:** (407) 352-0560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 09/03/2019