Individual
JEREN ROBERT KOWALEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1340 CITIZENS BLVD, LEESBURG, FL 34748-3924
(352) 435-7695
Mailing address
920 ROLLING ACRES RD UNIT 205, LADY LAKE, FL 32159-5029
(352) 633-7930
(352) 633-7924
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9112658
FL
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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