Basic Information
Provider Information
NPI: 1003005810
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PALASZEWSKI
FirstName: DAWN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 917770
Address2: J402
City: ORLANDO
State: FL
PostalCode: 328917770
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2 TAMPA GENERAL CIR
Address2: 4TH FLOOR
City: TAMPA
State: FL
PostalCode: 336063603
CountryCode: US
TelephoneNumber: 8132598500
FaxNumber: 8132598593
Other Information
ProviderEnumerationDate: 10/17/2007
LastUpdateDate: 10/26/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XME 107136FLY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
149JT01 BLUE CROSS BLUE SHIELDOTHER
00240940005FL MEDICAID


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