Provider Demographics
NPI:1518451715
Name:BUITRAGO, JOANNE SZEWCZYK (MD)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:SZEWCZYK
Last Name:BUITRAGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 SW ARCHER RD RM M-612
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3003
Mailing Address - Country:US
Mailing Address - Phone:352-271-5367
Mailing Address - Fax:352-271-5385
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:352-271-5367
Practice Address - Fax:352-271-5385
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL174083208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery