Paul D. Zawatsky, MD, PA
Clinic/Center, Primary Care in Jacksonville, FL. Organization (NPI-2).
NPI number1265704530
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1265704530
- Entity type
- Organization (NPI-2)
- Legal business name
- Paul D. Zawatsky, MD, PA
- Organization subpart
- No
- Enumeration date
- Feb 2, 2012
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | me63004 | FL | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | – | – |
Practice location
11481 Old Saint Augustine Rd Ste 103Jacksonville, FL 32258-1474
Phone 904-260-8424 · Fax 904-341-4777
Mailing address
3631 Mosswood CtJacksonville, FL 32223-3255
Authorized official
Paul D. Zawatsky
President
9042608424
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