Provider Demographics
NPI:1275831224
Name:MARIA S. WOZNIAK M.D.
Entity Type:Organization
Organization Name:MARIA S. WOZNIAK M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WOZNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-620-9004
Mailing Address - Street 1:900 NW 13TH ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2335
Mailing Address - Country:US
Mailing Address - Phone:561-620-9004
Mailing Address - Fax:561-620-6206
Practice Address - Street 1:900 NW 13TH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2335
Practice Address - Country:US
Practice Address - Phone:561-620-9004
Practice Address - Fax:561-620-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76164207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
44814AMedicare PIN
FLBB3600Medicare UPIN