Individual
DR. BEATA B NOWAKOWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 581-8767
(727) 559-0594
Mailing address
2568 SWEETGUM WAY W, CLEARWATER, FL 33761-3922
(727) 735-5356
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
155455
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME80757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263859200
—
FL
Enumeration date
10/12/2006
Last updated
02/09/2017
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