Individual
TOMASZ A MARZEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-2624
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
ME98509
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101277589
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME98509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609080845
—
VA
05
—
278305300
—
FL
01
—
96552
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/09/2007
Last updated
12/28/2023
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