Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | TRN7819 | FL |
Y | 207YP0228X | Pediatric Otolaryngology | ME104886 | FL |
NPI | 1003905571 |
---|---|
Provider Name | Eric Michael Jaryszak |
First Address | St Petersburg, FL 33701-1547 |
Second Address | Orlando, FL 32835-5718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 05/12/2018 |