=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568353589
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZAWADZKI AND VILLALONGA HEALTH AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2025
-----------------------------------------------------
Last Update Date | 07/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14 NE 1ST AVE STE 1403
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33132-2407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-997-9225
-----------------------------------------------------
Fax | 954-405-8490
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3434 NW 82ND TER
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33024-3159
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 910-232-6946
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. CEZARY ZAWADZKI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 910-232-6946
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------