Individual
ERIC JAMES WENGRZYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2816 3RD ST SW, LEHIGH ACRES, FL 33976-2507
(434) 390-8949
Mailing address
2816 3RD ST SW, LEHIGH ACRES, FL 33976-2507
(434) 390-8949
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
SW18238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/10/2021
Last updated
08/10/2021
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