Individual
DR. DENISE KAZMIERCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
835 7TH ST, CLERMONT, FL 34711-2156
(352) 241-4444
(352) 241-4245
Mailing address
PO BOX 120455, CLERMONT, FL 34712-0455
(352) 241-4444
(352) 241-4245
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS 9573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275020100
—
FL
01
—
41263
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/17/2006
Last updated
01/06/2011
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