Individual
CHRISTOPHER DAVID EWANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787
Mailing address
18228 N US HIGHWAY 41, LUTZ, FL 33549-4400
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
ME100378
FL
207NS0135X
Procedural Dermatology Physician
Primary
ME100378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001792300
—
FL
Enumeration date
06/21/2007
Last updated
10/14/2025
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