Mark Allen Kucker in New Smyrna Beach - Family Medicine
Mark Allen Kucker - NPI 1447360367
Mark Allen Kucker is a Family Medicine in New Smyrna Beach, Florida. Mark Allen Kucker practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Allen Kucker is 1447360367. The last update date is 2023-03-07.
Mark Allen Kucker's current location address is 161 N Causeway Ste D, New Smyrna Beach, Florida. You can contact this provider via phone number 3864286660 and fax number 3864286696. The mailing address for Mark Allen Kucker is 161 N Causeway Ste D, New Smyrna Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Allen Kucker |
|---|---|
| Address | 161 N Causeway Ste D, New Smyrna Beach, Florida |
| Phone Number | 3864286660 |
| Fax Number | 3864286696 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1447360367 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 161 N Causeway Ste D |
|---|---|
| City | New Smyrna Beach |
| State | Florida (FL) |
| Post Code | 321695300 |
| Phone Number | 3864286660 |
| Fax Number | 3864286696 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS5998 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10589572 | FL | TAX ID# | |
| OS5998 | FL | MEDICAL LICENSE | |
| 80725 | FL | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Allen Kucker by the Centers for Medicare & Medicaid Services?
The Mark Allen Kucker has been issued the NPI (National Provider Identifier) 1447360367, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Allen Kucker's facilities are situated?
The facilities of Mark Allen Kucker are physically located at the following address: 161 N Causeway Ste D, New Smyrna Beach, FL, 321695300.
What is Mark Allen Kucker's area of expertise and its corresponding taxonomy classification?
The Mark Allen Kucker's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1447360367 assigned to Mark Allen Kucker?
The Mark Allen Kucker was issued its 1447360367 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Allen Kucker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Allen Kucker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.