Individual
DR. MACIEJ MARCIN KACZANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 424-2602
(239) 343-1009
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2602
(239) 343-1009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS12622
FL
208M00000X
Hospitalist Physician
Primary
OS12622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017329500
—
FL
01
—
IO647Z
MEDICARE
FL
01
—
SAUWN
BCBS
FL
Enumeration date
06/23/2011
Last updated
11/10/2025
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