Individual
REGINA M BIELAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 SAN MARCO BLVD STE 300, JACKSONVILLE, FL 32207-8567
(904) 202-4243
(904) 390-7415
Mailing address
PO BOX 3162, SALT LAKE CITY, UT 84110-3162
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME53605
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME53605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009169600
—
FL
01
—
P01220904
RR MEDICARE
FL
Enumeration date
06/21/2005
Last updated
06/03/2025
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