Individual
JACEK ROBERT WECOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SE MAGNOLIA EXT STE 205, OCALA, FL 34471-4461
(352) 629-1800
(352) 629-1888
Mailing address
2405 SE 17TH ST STE 201, OCALA, FL 34471-9190
(352) 690-2171
(352) 690-6954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
HSE26199
FL
2086S0102X
Surgical Critical Care Physician
50398
KY
2086X0206X
Surgical Oncology Physician
Primary
ME141977
FL
Other
Enumeration date
07/27/2012
Last updated
09/26/2019
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