Individual
DR. TADEUSZ A NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 WINTER GARDEN VINELAND RD STE 207, WINDERMERE, FL 34786-6098
(407) 635-3280
(407) 636-7853
Mailing address
5151 WINTER GARDEN VINELAND RD STE 207, WINDERMERE, FL 34786-6098
(407) 635-3280
(407) 636-7853
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME59685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058629300
—
FL
01
—
15028
BCBS
FL
Enumeration date
05/27/2006
Last updated
07/09/2020
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