Individual
DR. PAUL JARCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 259-3160
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0030683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10078
BLUE CROSS
FL
Enumeration date
07/22/2006
Last updated
08/23/2007
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