| Dr Tadeusz A Nowicki, MD | |
|
5151 Winter Garden Vineland Rd Ste 207, Windermere, FL 34786-6098 | |
| (407) 635-3280 | |
| (407) 636-7853 |
| Full Name | Dr Tadeusz A Nowicki |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 5151 Winter Garden Vineland Rd Ste 207, Windermere, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184671943 | NPI | - | NPPES |
| 058629300 | Medicaid | FL | |
| 15028 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME59685 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tadeusz A Nowicki, MD 5151 Winter Garden Vineland Rd Ste 207, Windermere, FL 34786-6098 Ph: (407) 635-3280 | Dr Tadeusz A Nowicki, MD 5151 Winter Garden Vineland Rd Ste 207, Windermere, FL 34786-6098 Ph: (407) 635-3280 |
Dr. Glenn Robert Ringel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9725 Chestnut Ridge Dr, Windermere, FL 34786 Phone: 407-909-1506 Fax: 407-000-0000 | |
Dr. Nasimul Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11600 Lakeside Village Ln, Windermere, FL 34786 Phone: 407-846-2273 Fax: 407-347-3950 | |
Dr. David M Duany, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5151 Winter Garden Vineland Rd Ste 207, Windermere, FL 34786 Phone: 407-635-3280 Fax: 407-636-7853 |