Individual
DR. MICHAEL A. WASYLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2919 W SWANN AVE, SUITE 201, TAMPA, FL 33609-4038
(813) 877-9413
(813) 876-0980
Mailing address
2919 W SWANN AVE, SUITE 201, TAMPA, FL 33609-4038
(813) 877-9413
(813) 876-0980
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 0023025
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054037400
—
FL
Enumeration date
09/02/2005
Last updated
01/05/2012
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