MARK A. NOWACKI MD PA
Managed Care Organizations at 1 Ave, Saint Petersburg, FL

License number
Florida ME60591
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. MARK A NOWACKI M.D
Title: PHYSICIAN
Phone: (727) 347-4158
Address
Address
7011 1St Ave S, Saint Petersburg, FL 33707
National Provider ID: 1427440213
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mark Nowacki, M.D., PA

Saint Petersburg, FL

Doing business as:
Mark A Nowacki MD Pa
Registration:
Jan 28, 2000
Phone:
(727) 347-4285 (Phone)
Addresses:
1609 Pasadena Ave S, Saint Petersburg, FL 33707
7011 1 Ave S, Saint Petersburg, FL 33707
State ID:
P00000009806
Business type:
Domestic for Profit Corporation
President, Director:
Mark Nowacki (President, Director)
Categories:
Physicians & Surgeons
Specialties:
Internal Medicine

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