Individual
MICHAEL WIELOSZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
17036 GLORYANNA DR, WINTER GARDEN, FL 34787-9776
(407) 949-2238
Mailing address
2900 W OAK RIDGE RD, ORLANDO, FL 32809-3701
(407) 251-6000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5216351
FL
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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