Individual
JAN FORSZPANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 GOODLETTE RD N, SUITE 204, NAPLES, FL 34102-5616
(239) 263-4499
(239) 263-8992
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0046907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12076
UNIVERSAL PROV. #
FL
01
—
17913
OPERATING ENG. PROVIDER #
FL
01
—
271771
AVMED
FL
05
—
372219800
—
FL
01
—
703397
WELLCARE
FL
01
—
P00375806
RAILROAD MEDICARE
FL
Enumeration date
06/20/2006
Last updated
07/27/2016
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