Michael Kuczkowski in Jacksonville - Physician Assistant

Michael Kuczkowski - NPI 1144263104

Michael Kuczkowski is a Physician Assistant in Jacksonville, Florida. Michael Kuczkowski practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Kuczkowski is 1144263104. The last update date is 2023-10-09.

Michael Kuczkowski's current location address is 1 Shircliff Way, Jacksonville, Florida. You can contact this provider via phone number 9043088435 and fax number 9043460113. The mailing address for Michael Kuczkowski is 1 Shircliff Way, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Kuczkowski
Address 1 Shircliff Way, Jacksonville, Florida
Phone Number 9043088435
Fax Number 9043460113
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1144263104
Provider Enumeration Date 2006-06-14
Last Updated Date 2023-10-09

Provider Mailing Address Detail

Address 1 Shircliff Way
City Jacksonville
State Florida (FL)
Post Code 32204
Phone Number 9043088435
Fax Number 9043460113

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA2852
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
970007146 FL RAILROAD MEDICARE

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FAQs about Michael Kuczkowski

What is the unique 10-digit identification code assigned to Michael Kuczkowski by the Centers for Medicare & Medicaid Services?

The Michael Kuczkowski has been issued the NPI (National Provider Identifier) 1144263104, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael Kuczkowski is physically located?

The Michael Kuczkowski is physically situated at the following address: 1 Shircliff Way, Jacksonville, FL, 32204.

What is the Michael Kuczkowski's area of specialization and corresponding taxonomy classification?

The Michael Kuczkowski's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did the Michael Kuczkowski receive its 1144263104?

The Michael Kuczkowski was issued its 1144263104 on 2006-06-14, which is the date when the organization was assigned this unique identifier.

As of what date were the Michael Kuczkowski's details last updated?

The information pertaining to the Michael Kuczkowski, including its address, specialty, and other details, was most recently updated on 2023-10-09.

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