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)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