Healthcare Provider Details

I. General information

NPI: 1073244026
Provider Name (Legal Business Name): AUBREY WOZNIAK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2022
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13248 SPRING HILL DR
SPRING HILL FL
34609-5180
US

IV. Provider business mailing address

1404 BOLGER AVE
SPRING HILL FL
34609-6107
US

V. Phone/Fax

Practice location:
  • Phone: 352-606-2980
  • Fax:
Mailing address:
  • Phone: 352-238-2219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11020349
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: