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Organization

MICHAEL A WASYLIK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL A WASYLIK M.D. (ORTHOPAEDIC SURGERY)
(813) 877-9413
Entity
Organization

Contact information

Practice address
2919 W SWANN AVE, SUITE 201, TAMPA, FL 33609-4038
(813) 877-9413
(813) 876-0980
Mailing address
2919 W SWANN AVE, SUITE 201, TAMPA, FL 33609-4038
(813) 877-9413
(813) 876-0980

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 0023025
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054037400
FL
Enumeration date
05/19/2010
Last updated
01/05/2012
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