Healthcare Provider Details

I. General information

NPI: 1518855840
Provider Name (Legal Business Name): MARIA SZYMONOWICZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR # D1-19
GAINESVILLE FL
32610-4556
US

IV. Provider business mailing address

14034 NW 13TH LN
NEWBERRY FL
32669-0610
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7846
  • Fax:
Mailing address:
  • Phone: 561-568-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberDN30467
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: