Individual
NICHOLAS A MARUNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 430-2947
(352) 391-6498
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME51265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09490W
BCBS
FL
01
—
220032147
RAILROAD MEDICARE
FL
05
—
258612600
—
FL
Enumeration date
03/29/2006
Last updated
12/16/2020
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