Individual
EUGENE WAWRZYNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 PORT MALABAR BLVD NE, PALM BAY, FL 32905-5153
(321) 676-0555
(321) 676-0700
Mailing address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4126
(321) 454-7148
(321) 449-5015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME39665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0494928
AETNA
FL
01
—
05457
BLUE CROSS BLUE SHIELD
FL
05
—
066637800
—
FL
01
—
0877387002
CIGNA
FL
01
—
160041145
RAILROAD MEDICARE
FL
01
—
22815
WELLCARE
FL
01
—
4038991
AETNA
FL
Enumeration date
12/20/2005
Last updated
12/10/2012
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