Individual
DR. THOMAS E KOWALSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 BARKLEY CIRCLE, FORT MYERS, FL 33907
(239) 939-2616
(239) 939-9093
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0048210
FL
2086S0129X
Vascular Surgery Physician
ME0048210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044255100
—
FL
01
—
1114981
CIGNA PROVIDER #
FL
01
—
205689
AMERIGROUP
—
01
—
206369
AVMED
—
01
—
36427
BCBS PROVIDER #
FL
01
—
4109759
AETNA PROVIDER #
FL
01
—
974397
WELLCARE
FL
Enumeration date
04/18/2006
Last updated
03/21/2017
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