Individual
PAMELA S ZAWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3700 W SOVEREIGN PATH, LECANTO, FL 34461-8071
(352) 527-0068
(352) 527-8858
Mailing address
3700 W SOVEREIGN PATH, LECANTO, FL 34461-8071
(352) 527-0068
(352) 527-8858
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9177967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801863600
NPI
FL
01
—
346057
HEALTHEASE
FL
01
—
374143
STAYWELL
FL
01
—
5935028431021
TRICARE
FL
01
—
Y104K
BCBS
FL
Enumeration date
03/01/2006
Last updated
11/14/2007
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