Individual
BARBARA ANNE WENCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12200 W COLONIAL DR, SUITE 102, WINTER GARDEN, FL 34787-4125
(407) 877-1026
(407) 877-1028
Mailing address
12200 W COLONIAL DR, SUITE 102, WINTER GARDEN, FL 34787-4125
(407) 877-1026
(407) 877-1028
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
69776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240007590
RAILROAD MEDICARE
FL
01
—
28371
BLUE CROSS BLUE SHIELD
FL
01
—
593696464
HUMANA
FL
01
—
593696464
CIGNA
GU
Enumeration date
05/12/2006
Last updated
01/02/2015
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