Provider Demographics
NPI:1134399363
Name:WOZNIAK, JOSHUA L (ARNP-C)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:L
Last Name:WOZNIAK
Suffix:
Gender:M
Credentials:ARNP-C
Other - Prefix:MR
Other - First Name:JOSHUA
Other - Middle Name:L
Other - Last Name:WOZNIAK
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:ARNP-C
Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:STE 305
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:10200 YALE AVE
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34613-8375
Practice Address - Country:US
Practice Address - Phone:352-597-1960
Practice Address - Fax:352-597-9470
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9192059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL291195700Medicaid
FL000080300Medicaid
FLY120YOtherBLUE CROSS
FLAJ523ZMedicare PIN
FLAJ523OMedicare PIN
FLAJ523NMedicare PIN
FL291195700Medicaid