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Individual

PAUL WOJCIECH NOWICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 PALM AVE STE 700, JACKSONVILLE, FL 32207-8457
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
36064
IA
207VX0201X
Gynecologic Oncology Physician
Primary
ME101211
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000224800
FL
05
703246420B
GA
01
P01265915
RR MEDICARE
FL
Enumeration date
05/15/2006
Last updated
05/06/2025
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