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Individual

DR. JOSEPH SUJKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
HARBOURSIDE MEDICAL TOWER, SUITE 740.15, 5 TAMPA GENERAL CIRCLE, TAMPA, FL 33606
(813) 844-4313
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME144490
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PK91
BCBS
FL
05
107127100
FL
Enumeration date
07/08/2014
Last updated
12/07/2020
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