Provider Demographics
NPI:1518451715
Name:BUITRAGO, JOANNE SZEWCZYK (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:SZEWCZYK
Last Name:BUITRAGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:BARBARA
Other - Last Name:SZEWCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 100138
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0138
Mailing Address - Country:US
Mailing Address - Phone:352-265-8402
Mailing Address - Fax:352-627-4173
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-5501
Practice Address - Country:US
Practice Address - Phone:352-265-8402
Practice Address - Fax:352-627-4173
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME174083208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery