Paul D. Zawatsky, Md, Pa | |
10609 Old Saint Augustine Rd Suite 4 Jacksonville FL 32257-1164 | |
(904) 260-8424 | |
(904) 260-4420 |
Full Name | Paul D. Zawatsky, Md, Pa |
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Speciality | Clinic/Center |
Location | 10609 Old Saint Augustine Rd, Jacksonville, Florida |
Authorized Official Name and Position | Paul D. Zawatsky (PRESIDENT) |
Authorized Official Contact | 9042608424 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paul D. Zawatsky, Md, Pa 3631 Mosswood Ct Jacksonville FL 32223-3255 Ph: () - | Paul D. Zawatsky, Md, Pa 10609 Old Saint Augustine Rd Suite 4 Jacksonville FL 32257-1164 Ph: (904) 260-8424 |
NPI Number | 1265704530 |
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Provider Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |
Medicare PECOS PAC ID | 1052578648 |
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Medicare Enrollment ID | O20120209000464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265704530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME63004 (Florida) | Primary |
Provider Name | Paul Zawatsky |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164431037 PECOS PAC ID: 6507023181 Enrollment ID: I20120209000456 |
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