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Contact Information

ANNA MARIE CHWASTIAK, DPM
3651 LAKE CENTER DR.
MOUNT DORA, FL32757
 Phone: 352-385-9156
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ANNA MARIE CHWASTIAK · (Female)

NPI Number 1669716478
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/16/2012
Last updated 11/16/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PO 3582
  • PA License # SC-004063-L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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