Male or Other

Michael Kuczkowski PA

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Michael Kuczkowski PA

NPI Number

1144263104

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/14/2006

Specialties

(Taxonomies)

Code

363A00000X
207P00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

PA2852
PA0002852

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 863026
1 SHIRCLIFF WAY

City

Orlando
Jacksonville

State

FL
FL

Postal Code

32886-3026
32204

Country

US
US

Telephone Number

(800) 288-8325
(904) 308-8435

Identifiers

Identifier

970007146

Identifier State

FL

Identifier Issuer

RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/09/2023

Provider Address

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