Individual
MR. MICHAEL JAN PROTASEWICZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12780 WATERFORD LAKES PKWY, ORLANDO, FL 32828-4500
(407) 384-1053
(407) 277-8168
Mailing address
14339 VIBURNUM LN, ORLANDO, FL 32828-7202
(407) 666-5543
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11026965
FL
363LF0000X
Family Nurse Practitioner
11026965
FL
Other
Enumeration date
06/25/2024
Last updated
09/24/2024
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