Organization
COLLEEN NIEDZWIECKI, MD, PA
Active
Organization
COLLEEN NIEDZWIECKI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN NIEDZWIECKI MD (PRESIDENT)
(727) 902-6116
Entity
Organization
Contact information
Practice address
2730 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-3302
(727) 791-7300
Mailing address
4657 AYRON TER, PALM HARBOR, FL 34685-4012
(727) 902-6116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME68554
FL
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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