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Individual

EWA D. PISZCZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3901 COCONUT PALM DR STE 120, TAMPA, FL 33619-8362
(813) 289-6597
(865) 769-3454
Mailing address
3901 COCONUT PALM DR STE 120, TAMPA, FL 33619-8362
(813) 289-6597
(865) 769-3454

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12187
RI
207R00000X
Internal Medicine Physician
Primary
ME107864
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002756400
FL
05
9024203
RI
Enumeration date
08/18/2006
Last updated
03/17/2018
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