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
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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