Provider Demographics
NPI:1982685343
Name:WOZNIAK, ELZBIETA G (MD)
Entity Type:Individual
Prefix:DR
First Name:ELZBIETA
Middle Name:G
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 EAST AVE SOUTH
Mailing Address - Street 2:STE 102
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2351
Mailing Address - Country:US
Mailing Address - Phone:941-366-5225
Mailing Address - Fax:941-366-5221
Practice Address - Street 1:1219 EAST AVENUE SOUTH
Practice Address - Street 2:STE 102
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2351
Practice Address - Country:US
Practice Address - Phone:941-366-5225
Practice Address - Fax:941-366-5221
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0069736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF86658Medicare UPIN
FL28416YMedicare PIN