Individual
DR. DARIUSZ GRZEGORZ MYDLARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6336 W COLONIAL DR, ORLANDO, FL 32818-7812
(407) 219-5200
(321) 281-8700
Mailing address
6416 OLD WINTER GARDEN RD, ORLANDO, FL 32835-1348
(407) 751-7288
(407) 770-0661
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0101235066
VA
208D00000X
General Practice Physician
Primary
ME139388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME139388
MEDICAL LICENSE
FL
Enumeration date
11/18/2005
Last updated
03/05/2019
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