Individual provider · NPI-1

Ewa A Bialikiewicz, M.D.

Family Medicine · Port Charlotte, FL

NPI number1114972312
StatusActive
Last updated in NPPESSep 16, 2020

Details

NPI
1114972312
Entity type
Individual (NPI-1)
Name
Ewa A Bialikiewicz
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 24, 2006
Certification date
Sep 16, 2020
Last updated
Sep 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME139379FLYes
207Q00000X Family Medicine01045564AIN

Practice location

2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922

Phone 941-624-2704 · Fax 941-627-6066

Mailing address

2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922

Phone 941-624-2704 · Fax 941-627-6066

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