Nowacki, Mark A

Nowacki, Mark A is an sole proprietor health care provider with primary practice located at 7011 1St Ave S , Saint Petersburg FL 33707-1203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nowacki, Mark A can be contacted via phone (727) 347-4158.

Contact Information

Primary practice address
7011 1St Ave S Saint Petersburg FL 33707-1203
Phone: (727) 347-4158
Fax: (727) 345-2260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0060591 Florida

Profile Details

NPI number 1710076138
LBN Legal business name Nowacki, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated May 3rd, 2024 - about last year

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 1710076138 NPPES
Florida Other 12884 BC/BS
Florida Other 593617364 BC/BS
Florida Other 1710076138 BC/BS
Florida MEDICAID 1710076138 BC/BS
Florida Other 4530901 BC/BS
Florida Other 2503431 BC/BS
Florida Other 3348283004 BC/BS
Florida Other 21980510 BC/BS
Florida MEDICAID 372504900 BC/BS

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