Organization
NICHOLAS A MARUNIAK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS A MARUNIAK M.D. (PRESIDENT)
(352) 365-1021
Entity
Organization
Contact information
Practice address
1201 S 9TH STREET, LEESBURG, FL 34748-6845
(352) 365-1021
Mailing address
1201 S 9TH STREET, LEESBURG, FL 34748-6845
(352) 365-1021
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
ME0051265
FL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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