| Aesculap Medical Clinic | |
|
2101 Northside Dr Unit 601 Panama City FL 32405-3687 | |
| (850) 215-5310 | |
| (850) 215-0159 |
| Full Name | Aesculap Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2101 Northside Dr Unit 601, Panama City, Florida |
| Authorized Official Name and Position | Krzysztof T Lewandowski (OWNER) |
| Authorized Official Contact | 8502155310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesculap Medical Clinic 2101 Northside Dr Unit 601 Panama City FL 32405-3687 Ph: (850) 215-5310 | Aesculap Medical Clinic 2101 Northside Dr Unit 601 Panama City FL 32405-3687 Ph: (850) 215-5310 |
| NPI Number | 1770201063 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 6103202551 |
|---|---|
| Medicare Enrollment ID | O20221007002025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770201063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Krzysztof T Lewandowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164415717 PECOS PAC ID: 9830188390 Enrollment ID: I20040510000903 |
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