Healthcare Provider Details

I. General information

NPI: 1225292550
Provider Name (Legal Business Name): PAUL CHMIELEWSKI MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 EDGELAKE DR
SARASOTA FL
34240-8803
US

IV. Provider business mailing address

PO BOX 15527
SARASOTA FL
34277-1527
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-7700
  • Fax: 888-972-9784
Mailing address:
  • Phone: 941-925-3427
  • Fax: 888-972-9784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME73577
License Number StateFL

VIII. Authorized Official

Name: DR. PAUL W CHMIELEWSKI
Title or Position: OWNER / PRESIDENT
Credential: MD
Phone: 941-925-3427