| Mary Josefyk Dnp Aprn Pa | |
|
13 N Main Ave Lake Placid FL 33852-2603 | |
| (863) 659-1079 | |
| (863) 659-1317 |
| Full Name | Mary Josefyk Dnp Aprn Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13 N Main Ave, Lake Placid, Florida |
| Authorized Official Name and Position | Mary E Josefyk (PRESIDENT) |
| Authorized Official Contact | 8638406095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Josefyk Dnp Aprn Pa Po Box 718 Lake Placid FL 33862-0718 Ph: (863) 659-1079 | Mary Josefyk Dnp Aprn Pa 13 N Main Ave Lake Placid FL 33852-2603 Ph: (863) 659-1079 |
| NPI Number | 1942089453 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942089453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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