Wazny, Tomasz K.

Wazny, Tomasz K. is an individual health care provider with primary practice located at 21205 Olean Blvd Suite A, Port Charlotte FL 33952-6756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Wazny, Tomasz K. can be contacted via phone (941) 613-2800.

Contact Information

Primary practice address
21205 Olean Blvd Suite A Port Charlotte FL 33952-6756
Phone: (941) 613-2800
Fax: (941) 613-2801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0056397 Florida

Profile Details

NPI number 1457349763
LBN Legal business name Wazny, Tomasz K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Dec 19th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457349763 NPPES
Florida Other 268178100 MEDICAID GROUP NUMBER
Florida MEDICAID 053366100 MEDICAID GROUP NUMBER
Florida Other K2851 MEDICAID GROUP NUMBER
Florida Other ME0056397 MEDICAID GROUP NUMBER

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