Individual
DR. JOHN ANDREW PODLASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., DACBN,DABCI
Contact information
Practice address
2721 SE 23RD AVE, OCALA, FL 34471-0710
(352) 414-9998
(352) 867-1015
Mailing address
2721 SE 23RD AVE, OCALA, FL 34471-0710
(352) 414-9998
(352) 867-1015
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
4801
FL
111NN1001X
Nutrition Chiropractor
4801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55690
BCBS
FL
01
—
BG080Z
MEDICARE
FL
Enumeration date
08/17/2006
Last updated
01/21/2010
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