Healthcare Provider Details

I. General information

NPI: 1003144981
Provider Name (Legal Business Name): TALI B WOJNOWICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2009
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 6TH ST S FL 2
ST PETERSBURG FL
33701-4815
US

IV. Provider business mailing address

700 6TH ST S FL 2
ST PETERSBURG FL
33701-4815
US

V. Phone/Fax

Practice location:
  • Phone: 727-893-6785
  • Fax: 727-893-6786
Mailing address:
  • Phone: 727-893-6785
  • Fax: 727-893-6786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME127600
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: