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Individual

MAGDALENA EWA MISIUREK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
730 HANOVER CT, LAKELAND, FL 33813-4733
(863) 800-7296
Mailing address
730 HANOVER CT, LAKELAND, FL 33813-4733
(863) 800-7296

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME96947
FL
208D00000X
General Practice Physician
Primary
ME96947
FL
208M00000X
Hospitalist Physician
ME96947
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277747900
FL
Enumeration date
11/15/2006
Last updated
09/10/2021
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