Provider Demographics
NPI:1639242217
Name:PAWEL A KALWINSKI MD PA
Entity Type:Organization
Organization Name:PAWEL A KALWINSKI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAWEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KALWINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-474-6474
Mailing Address - Street 1:406 N INDIANA AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-2764
Mailing Address - Country:US
Mailing Address - Phone:941-474-6474
Mailing Address - Fax:947-474-4818
Practice Address - Street 1:406 N INDIANA AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-2764
Practice Address - Country:US
Practice Address - Phone:941-474-6474
Practice Address - Fax:947-474-4818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06032OtherBCBS
FL7131311OtherAETNA
FL06032OtherBCBS
FLG88779Medicare UPIN