Individual
MR. JOHN SRAGOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C (PHYSICIAN ASSI
Contact information
Practice address
971 NW 2ND ST, MIAMI, FL 33128-1205
(305) 545-7737
Mailing address
971 NW 2ND ST, MIAMI, FL 33128-1205
(305) 545-7737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
FLPA9101780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002316600
—
FL
Enumeration date
12/28/2009
Last updated
04/19/2012
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