Jacob Putkowski PA-C

NPI 1093054652 - Physician Assistant - 363A00000X

NPI Details
NPI 1093054652
Gender Male
Enumeration Date 02/01/2013
Last Updated 02/01/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1368 N UNIVERSITY DR
PLANTATION FL, 33322-4734, US
Phone (954) 577-0001
Fax
Business Location
5229 N DIXIE HWY
APT 29C2
OAKLAND PARK FL, 33334-4028, US
Phone (203) 300-9224
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9107020
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According to our database, Mr. Jacob Putkowski PA-C NPI is 1093054652, taxonomy code is 363A00000X and license number is PA9107020, license state is located at Florida. Jacob Putkowski PA-C physically located at 1368 N University Dr, Plantation FL, 33322-4734. NPI Number Jacob Putkowski PA-C has the Individual type.

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1093054652 NPI number is provided on an as is basis without warranty of any kind. 1093054652 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Putkowski PA-C are for informational purposes only.