Mark A Nowacki in South Pasadena - Internal Medicine

Mark A Nowacki - NPI 1710076138

Mark A Nowacki is a Internal Medicine in South Pasadena, Florida. Mark A Nowacki practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark A Nowacki is 1710076138. The last update date is 2007-07-08.

Mark A Nowacki's current location address is 1609 Pasadena Ave S, South Pasadena, Florida. You can contact this provider via phone number 7273474158 and fax number 7273452260. The mailing address for Mark A Nowacki is 1609 Pasadena Ave S, South Pasadena, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark A Nowacki
Address 1609 Pasadena Ave S, South Pasadena, Florida
Phone Number 7273474158
Fax Number 7273452260
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1710076138
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1609 Pasadena Ave S
City South Pasadena
State Florida (FL)
Post Code 337074565
Phone Number 7273474158
Fax Number 7273452260

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME0060591
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12884 FL BC/BS
21980510 FL WORKMAN'S COMP
2503431 FL GHI
3348283004 FL CIGNA
4530901 FL AETNA

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FAQs about Mark A Nowacki

What is the Mark A Nowacki's unique identification number?

The Mark A Nowacki has been assigned the NPI (National Provider Identifier) Number 1710076138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Mark A Nowacki's facilities are situated?

The facilities of Mark A Nowacki are physically located at the following address: 1609 Pasadena Ave S, South Pasadena, FL, 337074565.

What is Mark A Nowacki's area of expertise and its corresponding taxonomy classification?

The Mark A Nowacki's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1710076138 to Mark A Nowacki?

The Mark A Nowacki received its 1710076138 assignment from the Centers for Medicare & Medicaid Services on 2006-10-12.

As of what date were the Mark A Nowacki's details last updated?

The information pertaining to the Mark A Nowacki, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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