Individual provider · Type 1 NPI
Anna Marie Chwastiak, D.P.M.
Foot Surgery Podiatrist · Mount Dora, FL
NPI number
1669716478
Active
Practice location
3651 Lake Center Dr.
Mount Dora, FL 32757
Mailing address
27650 SE Highway 42
Umatilla, FL 32784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | PO 3582 (PA) |
| Foot Surgery Podiatrist | 213ES0131X | SC-004063-L (PA) |
Foot Surgery Podiatrist: Definition to come...
Other foot surgery podiatrist providers in Mount Dora
About NPI 1669716478
Anna Marie Chwastiak, D.P.M.'s National Provider Identifier is 1669716478, issued on Nov 16, 2012. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Mount Dora, FL. The record was last updated on Nov 16, 2012.