Individual
EWELINA SKOMOROCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1573 W FAIRBANKS AVE STE 210, WINTER PARK, FL 32789-4679
(407) 646-7845
Mailing address
1573 W FAIRBANKS AVE STE 210, WINTER PARK, FL 32789-4679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS21214
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
09/19/2024
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