# MR. JOHN PETER KMETZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902843352
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA1731 | FL | Yes |
| 363AS0400X | Surgical Physician Assistant | PA1731 | FL | — |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 07/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 065642900 | — | FL |
| 05 | — | 131843800 | — | FL |
| 01 | — | 1902843352 | TRICARE | FL |
| 01 | — | 3464527 | CIGNA | FL |
| 01 | — | 36291 | BCBS | FL |
| 01 | — | 9423471 | AETNA | FL |
| 01 | — | PA0001731 | PA LICENSE | FL |