Healthcare Provider Details

I. General information

NPI: 1508093113
Provider Name (Legal Business Name): JUSTYNA SYLWIA WOJAS M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1483 LAKE BALDWIN LN APT A
ORLANDO FL
32814-6744
US

IV. Provider business mailing address

1483 LAKE BALDWIN LN APT A
ORLANDO FL
32814-6744
US

V. Phone/Fax

Practice location:
  • Phone: 407-236-4172
  • Fax: 573-240-9726
Mailing address:
  • Phone: 407-236-4172
  • Fax: 573-240-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME115189
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: