Eugene Wawrzyniak, MD | |
1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | |
(321) 676-0555 | |
(321) 676-0700 |
Full Name | Eugene Wawrzyniak |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1051 Port Malabar Blvd Ne, Palm Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053397141 | NPI | - | NPPES |
160041145 | Other | FL | RAILROAD MEDICARE |
066637800 | Medicaid | FL | |
0877387002 | Other | FL | CIGNA |
0494928 | Other | FL | AETNA |
22815 | Other | FL | WELLCARE |
4038991 | Other | FL | AETNA |
05457 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME39665 (Florida) | Primary |
Entity Name | Florida Department Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386751907 PECOS PAC ID: 3072424282 Enrollment ID: O20041122000254 |
Mailing Address | Practice Location Address |
---|---|
Eugene Wawrzyniak, MD 2575 N Courtenay Pkwy, Merritt Island, FL 32953-4126 Ph: (321) 454-7148 | Eugene Wawrzyniak, MD 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 Ph: (321) 676-0555 |
Dr. Rachel Chanteil Cartechine, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3425 Bayside Lakes Blvd Se Ste 110, Palm Bay, FL 32909 Phone: 321-312-3477 Fax: 321-951-7408 | |
Dr. Adam Michael Close, M.D., B.SC. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3425 Bayside Lakes Blvd Se Ste 110, Palm Bay, FL 32909 Phone: 321-312-3477 Fax: 321-637-1598 |