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Steven James Fujarczyk

Physician Assistant in Sebastian, FL. Individual provider (NPI-1).

NPI number1336733666
StatusActive
Last updated in NPPESMay 30, 2023

Details

NPI
1336733666
Entity type
Individual (NPI-1)
Name
Steven James Fujarczyk
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 26, 2021
Certification date
May 30, 2023
Last updated
May 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9117481FLYes

Practice location

407 Azine Ter
Sebastian, FL 32958

Phone 786-210-2483

Mailing address

407 Azine Ter
Sebastian, FL 32958-4539

Phone 786-210-2483

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