Mark A. Nowacki MD PA
NPI #1427440213 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1427440213
- Entity Type
- Organization
- Organization Name
- Mark A. Nowacki MD PA
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Mar 3, 2015
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 7011 1ST AVE S
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33707-1203
- Phone
- (727) 347-4158
Authorized Official
- Name
- DR. MARK A NOWACKI, M.D
- Title
- PHYSICIAN
- Phone
- (727) 347-4158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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