Individual
MR. ANDREW WASILUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3129 HENDRICKS AVENUE, JACKSONVILLE, FL 32207-4217
(904) 398-8266
(904) 396-4803
Mailing address
3129 HENDRICKS AVENUE, JACKSONVILLE, FL 32207-4217
(904) 398-8266
(904) 396-4803
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME73313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259035200
—
FL
Enumeration date
09/08/2006
Last updated
11/22/2010
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