Healthcare Provider Details

I. General information

NPI: 1366467623
Provider Name (Legal Business Name): MARIA S WOZNIAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 02/18/2020
Certification Date: 02/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16244 S MILITARY TRL STE 470
DELRAY BEACH FL
33484-6532
US

IV. Provider business mailing address

16244 S MILITARY TRL STE 470
DELRAY BEACH FL
33484-6532
US

V. Phone/Fax

Practice location:
  • Phone: 561-620-9004
  • Fax: 561-620-6206
Mailing address:
  • Phone: 561-620-9004
  • Fax: 561-620-6206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME76164
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: