Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | FL0013292 | FL |
NPI | 1023142148 |
---|---|
Provider Name | Dr. William Jarmolych |
First Address | Clearwater, FL 33765-3041 |
Second Address | Clearwater, FL 33765-3041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 14/11/2011 |