Individual
DANIELLE JAWOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 479-1800
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 479-1800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000546700
—
FL
Enumeration date
11/14/2008
Last updated
02/23/2009
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