National Provider Identifier Database

MARK A NOWACKI MD PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MARK A. NOWACKI MD PA
7011 1ST AVE S
SAINT PETERSBURG, FL33707-1203
Phone: 727-347-4158
Fax: 727-345-2260
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MARK A. NOWACKI MD PA

NPI Number 1427440213
Legal business name
LBN
MARK A. NOWACKI MD PA
Authorized official MARK NOWACKI - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 03/03/2015
Last updated 04/04/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME60591
  • FL Medicaid: 372504900

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.

Reviews for MARK A. NOWACKI MD PA

There are currently no reviews for MARK A. NOWACKI MD PA


NPIdb - Home
v2.201