ETHAN JACOB WAJSWOL

JACKSONVILLE, FL
NPI1366076945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: FL  ME153288)
Enumeration Date2020-02-24
Last Update Date2022-01-11
Business Address
Mr. ETHAN JACOB WAJSWOL MD (5/18/2020)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
Mailing Address
Mr. ETHAN JACOB WAJSWOL MD (5/18/2020)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000