Provider Demographics
NPI:1417354549
Name:PILARCZYK, JOHN PETER (DVM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PETER
Last Name:PILARCZYK
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 FALLOWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-7012
Mailing Address - Country:US
Mailing Address - Phone:813-690-6982
Mailing Address - Fax:
Practice Address - Street 1:1311 FALLOWFIELD DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-7012
Practice Address - Country:US
Practice Address - Phone:813-690-6982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1350174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1350OtherDVM