Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeren Robert Kowalewski, PA-C

Individual provider Dermatology Physician · NPI 1174153969

Jeren Robert Kowalewski, PA-C is a Dermatology Physician in Leesburg, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1340 Citizens Blvd
Leesburg, FL 34748-3924
Phone: (352) 435-7695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Rolling Acres Rd Unit 205, Lady Lake, FL 32159-5029 — (352) 633-7930

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 9112658 (FL)

Record details

NPI number1174153969
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 21, 2020
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020

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