Mark A. Nowacki Md Pa

LBN: Mark A. Nowacki Md Pa
Mark A. Nowacki Md Pa is an health care organization with primary practice located at 7011 1St Ave S , Saint Petersburg FL 33707-1203. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Mark A. Nowacki Md Pa can be contacted via phone (727) 347-4158, or through Nowacki, Mark A via phone (727) 347-4158.

Contact Information

Primary practice address
7011 1St Ave S Saint Petersburg FL 33707-1203
Phone: (727) 347-4158
Fax: (727) 345-2260
Website:
Map and Directions
Authorized official contact:
Name: Nowacki, Mark A Doctor of Medicine (MD)
Phone: (727) 347-4158

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X ME60591 Florida

Profile Details

NPI number 1427440213
LBN Legal business name Mark A. Nowacki Md Pa
DBA Doing business as
Authorized official Nowacki, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2015
Last updated Apr 4th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427440213 NPPES
Florida MEDICAID 372504900

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