Dr. Carissa J Kostecki
MD | Pediatric Emergency Medicine | Female
Dr. Carissa J Kostecki, MD is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Carissa J Kostecki is
800 Prudential Dr, Jacksonville, Florida - 32207-8202. She can be contacted on phone at
904-396-5682 and fax number 904-346-0864.
Dr. Carissa J Kostecki is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Carissa J Kostecki is
1720006828 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 17 Apr, 2008.
Dr. Carissa J Kostecki license number is
ME85233 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Florida.
Dr. Carissa J Kostecki has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Carissa J Kostecki basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Carissa J Kostecki |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Carissa J Kostecki address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 800 Prudential Dr
Jacksonville, FL, 32207-8202
United States |
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| Phone Number : | 904-396-5682 |
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| Fax Number : | 904-346-0864 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720006828 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 17 Apr, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carissa J Kostecki are as mentioned. Primary taxonomy code for Dr. Carissa J Kostecki, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | ME85233 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Carissa J Kostecki such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000960352A | MEDICAID | GA | |
| 29056 | Other | FL | BCBS |
| 265150500 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 820 Prudential Dr Ste 713
Jacksonville, FL, 32207-8209
United States |
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| Phone Number : | 904-396-5682 |
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| Fax Number : | 904-346-0864 |
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Business Location:
Patients can refer following map for directions to
Dr. Carissa J Kostecki practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.