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Individual

SCOTT W. WOJCIECHOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1050 OLD CAMP RD, STE 270, THE VILLAGES, FL 32162-1762
(352) 633-1966
(352) 633-1969
Mailing address
PO BOX 2198, LADY LAKE, FL 32158-2198
(352) 633-1966
(352) 633-1969

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
PA9101385
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
290879400
FL
01
E5010
BCBS FL
FL
Enumeration date
06/19/2006
Last updated
07/29/2012
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