Lana E Wlodyka MD

NPI 1063496917 - Family Medicine - 207Q00000X

NPI Details
NPI 1063496917
Gender Female
Enumeration Date 12/05/2005
Last Updated 12/16/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
4495-304 ROOSEVELT BLVD.
BOX #343
JACKSONVILLE FL, 32210, US
Phone (904) 389-9350
Fax
Business Location
BOX # 343
4495-304 ROOSEVELT BLVD.
JACKSONVILLE FL, 32210, US
Phone (904) 389-9350
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME 64899
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According to our database, Dr. Lana E Wlodyka MD NPI is 1063496917, taxonomy code is 207Q00000X and license number is ME 64899, license state is located at Florida. Lana E Wlodyka MD physically located at 4495-304 Roosevelt Blvd., Jacksonville FL, 32210. NPI Number Lana E Wlodyka MD has the Individual type.

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1063496917 NPI number is provided on an as is basis without warranty of any kind. 1063496917 is maintained by the National Plan & Provider Enumeration System. The contents of Lana E Wlodyka MD are for informational purposes only.