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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MARK A. NOWACKI MD PA

NPI # 1427440213
LBN Legal business name MARK A. NOWACKI MD PA
Authorized official MARK NOWACKI - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2015
Last updated 04/04/2024 - About 2 years ago
Identifiers
FL License # ME60591
FL Medicaid 372504900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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