Organization
INFECTIOUS DISEASES CONSULTANTS, P.A.
Active
Organization
INFECTIOUS DISEASES CONSULTANTS, P.A.
Active
Other names
Tomasz K. Wazny, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN RICHARD (OFFICE MANAGER)
(941) 613-2800
Entity
Organization
Contact information
Practice address
21205 OLEAN BLVD STE A, PORT CHARLOTTE, FL 33952-6756
(941) 613-2800
(941) 613-2801
Mailing address
21205 OLEAN BLVD STE A, PORT CHARLOTTE, FL 33952-6756
(941) 613-2800
(941) 613-2801
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0056397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271223700
—
FL
01
—
440002698
RR MEDICARE
FL
01
—
P00338188
RR MEDICARE
FL
Enumeration date
10/11/2006
Last updated
02/08/2022
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