Individual
KELLY SAWCZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980-2005
(941) 235-4900
(941) 235-4901
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-5333
(239) 343-5321
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME98498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277025300
—
FL
01
—
ME95802
FLORIDA MEDICAL LICENSE
FL
Enumeration date
01/30/2007
Last updated
06/27/2024
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