Bruce Chester Wlosinski, | |
1957 Magnolia Cir, Tavares, FL 32778-2037 | |
(323) 523-1302 | |
Not Available |
Full Name | Bruce Chester Wlosinski |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1957 Magnolia Cir, Tavares, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609573153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Vitae Health Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013562024 PECOS PAC ID: 6204166762 Enrollment ID: O20190925003271 |
Mailing Address | Practice Location Address |
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Bruce Chester Wlosinski, 1957 Magnolia Cir, Tavares, FL 32778-2037 Ph: (323) 523-1302 | Bruce Chester Wlosinski, 1957 Magnolia Cir, Tavares, FL 32778-2037 Ph: (323) 523-1302 |
Marvin Leigh Smith, ISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 E Maud St, Tavares, FL 32778 Phone: 352-253-9348 Fax: 352-253-9351 | |
Ryan E Godwin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 S Duncan Dr, Bldg C, Tavares, FL 32778 Phone: 352-742-6170 | |
Kristen Nardolillo, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 866-280-9355 Fax: 407-583-6487 | |
Sara Renee Aderholdt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1936 Salk Ave, Tavares, FL 32778 Phone: 352-363-5921 Fax: 352-589-5771 | |
Janelle Carbone-rodriguez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2445 Lane Park Rd, Tavares, FL 32778 Phone: 866-280-9355 | |
Rachel Golub, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 S Duncan Dr, Tavares, FL 32778 Phone: 352-357-1955 Fax: 352-240-1066 |