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NPI Code Detail

MEDICARE: PAUL WOJCIECH NOWICKI MD

MEDICARE: PAUL WOJCIECH NOWICKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician36064IA
2207VX0201XGynecologic Oncology PhysicianME101211FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01265915OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255382982
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL WOJCIECH NOWICKI MD
Provider Business Mailing Address
First Line : PO BOX 746654
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6654
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 1301 PALM AVE STE 700
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8457
Country : US
Telephone Number : 904-202-7300
Fax Number : 904-202-2754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 05/06/2025

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Directions to “ PAUL WOJCIECH NOWICKI MD” Practice Location

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