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Individual

DR. THOMAS PAUL NOWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7315 HUDSON AVE, HUDSON, FL 34667-1158
(727) 868-9563
(727) 869-6909
Mailing address
PO BOX 5515, HUDSON, FL 34674-5515
(727) 868-9563
(727) 869-6909

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
G59443
CA
207T00000X
Neurological Surgery Physician
Primary
ME112041
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G594430
CA
Enumeration date
09/14/2006
Last updated
01/17/2017
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