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
Provider Name :Dr. Carissa J Kostecki
Credential :MD
Gender :Female
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
Phone Number :904-396-5682
Fax Number :904-346-0864
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
NPI Entity Type : Individual
First Enrolment Date : 17 Jul, 2006
Last Updated On : 17 Apr, 2008
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 SpecialityPrimaryLicense No.State
2080P0204XPediatrics Pediatric Emergency MedicineYesME85233FL
Legacy Identifiers:
Other legacy medical identifiers of Dr. Carissa J Kostecki such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
000960352AMEDICAIDGA
29056OtherFLBCBS
265150500MEDICAIDFL
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
Phone Number :904-396-5682
Fax Number :904-346-0864
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. Last updated on 08 January, 2024.