Individual
DR. PETER T. DZIEGIELEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7999
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME116212
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
35.098444
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008987600
—
FL
Enumeration date
01/05/2012
Last updated
09/05/2013
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