MEDICARE: DR. PAWEL D FOTEK DMD

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
1	1223P0300X	Periodontics	DN18002	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1336331693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAWEL D FOTEK DMD

Provider Business Mailing Address
First Line	:	11641 KEW GARDENS AVE
Second Line	:	STE 209
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2846
Country	:	US
Telephone Number	:	561-693-3236
Fax Number	:

Provider Business Practice Location Address
First Line	:	11641 KEW GARDENS AVE
Second Line	:	STE 209
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2846
Country	:	US
Telephone Number	:	561-693-3236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	03/13/2017

Similar Medicare Providers

1225112634 — DR. MELISSA IGLESIAS D.O.
Practice Location Address:

11641 KEW GARDENS AVE STE 209
PALM BEACH GARDENS, FL
33410-2846

Practice Phone: 561-331-3833
Practice Fax: 561-331-3893

1679141238 — IGLESIAS EYE ASSOCIATES LLC
Practice Location Address:

11641 KEW GARDENS AVE STE 209
PALM BEACH GARDENS, FL
33410-2846

Practice Phone: 561-331-3833
Practice Fax: 561-331-3893

1306581368 — CITY CLINICS LLC
Practice Location Address:

11641 KEW GARDENS AVE STE 205
PALM BEACH GARDENS, FL
33410-2846

Practice Phone: 561-337-4055
Practice Fax: 561-516-6626

1225992845 — CITY CLINICS LLC
Practice Location Address:

11641 KEW GARDENS AVE STE 205
PALM BEACH GARDENS, FL
33410-2846

Practice Phone: 561-221-0139
Practice Fax: 561-929-6903

1437818366 — BISLEIDY GONZALEZ
Practice Location Address:

3801 NW 186TH ST
MIAMI GARDENS, FL
33055-2846

Practice Phone: 305-527-0249
Practice Fax:

1972497717 — COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice Location Address:

2846 SW TOWN CENTER WAY
PALM CITY, FL
34990-8239

Practice Phone: 772-280-1404
Practice Fax: 772-280-1403

Directions to “ DR. PAWEL D FOTEK DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.