Individual
KATARZYNA MALGORZATA PISAREWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(393) 484-0002
Mailing address
2338 IMMOKALEE RD STE 186, NAPLES, FL 34110-1445
(239) 330-2933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46198
KY
207Q00000X
Family Medicine Physician
ME160789
FL
208M00000X
Hospitalist Physician
46198
KY
208M00000X
Hospitalist Physician
Primary
ME160789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100216420
—
KY
01
—
P01188163
RAILROAD MEDICARE
KY
Enumeration date
05/24/2011
Last updated
12/12/2024
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