IndividualActive
Andrew Wasiluk, MD
NPI 1457455719 · Nephrology Physician · Jacksonville, FL
Provider details
- NPI number
- 1457455719
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME73313 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3129 Hendricks Avenue
Jacksonville, FL 32207-4217
Phone: (904) 398-8266
Fax: (904) 396-4803
Approximate (ZIP-level) locationGet directions
Mailing address
3129 Hendricks Avenue
Jacksonville, FL 32207-4217
Registry dates
- Enumerated
- 2006-09-08
- Last updated
- 2010-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.