Individual
DR. CHRISTINA STOCKWELL WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 PRUDENTIAL DR, SUITE 713, JACKSONVILLE, FL 32207-8210
(800) 936-5996
Mailing address
1516 MALLORY ST, JACKSONVILLE, FL 32205-8103
(404) 433-8123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
128070
FL
Other
Enumeration date
04/09/2013
Last updated
06/23/2016
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