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Individual

GIANNA KONDZIELAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5800 49TH ST N STE 201, ST PETERSBURG, FL 33709-2100
(727) 605-1770
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9117612
FL
363AS0400X
Surgical Physician Assistant
PA9117612
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126078900
FL
01
KRPJP
BCBS
FL
Enumeration date
03/31/2023
Last updated
12/07/2025
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