Individual
DR. MICHAEL ZWOLINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084-4240
(904) 547-2594
(904) 547-2644
Mailing address
312 2ND ST, ST AUGUSTINE, FL 32084-7307
(904) 794-1085
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03492
SPECTERA
FL
01
—
20566
BLUE CROSS & BLUE SHIELD
FL
01
—
2784940
AETNA
FL
01
—
410042741
PALMETTO GBA
FL
01
—
593549151
CIGNA
FL
05
—
620958100
—
FL
Enumeration date
03/02/2007
Last updated
06/14/2023
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