Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | OS16678 | FL |
NPI | 1093132292 |
---|---|
Provider Name | Sigmund Joseph Paczkowski |
First Address | South Miami, FL 33143-4716 |
Second Address | South Miami, FL 33143-4716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 29/07/2020 |