Edmund G Witkowski
Sports Medicine Orthopaedic Surgeon
836 Sunset Lake Blvd Building A Suite 205
Venice
, Florida 34292-7554
Edmund G Witkowski
Sports Medicine Orthopaedic Surgeon
836 Sunset Lake Blvd Building A Suite 205
Venice
, Florida 34292-7554
(941) 492-4065
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Edmund G Witkowski
- 836 Sunset Lake Blvd Building A Suite 205
- Venice, FL
- Zip : 34292-7554
- Fax : (941) 492-4065
- Phone : (941) 485-1505
Second Address
- Edmund G Witkowski
- 836 Sunset Lake Blvd Building A Suite 205
- Venice, FL
- Zip : 34292-7554
- Fax : (941) 492-4065
- Phone : (941) 485-1505
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME0062096 | FL |
National Provider Identifier
| NPI | 1013980713 |
|---|---|
| Provider Name | Edmund G Witkowski |
| First Address | Venice, FL 34292-7554 |
| Second Address | Venice, FL 34292-7554 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2006 |
| Last Update Date | 17/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G89103 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.