Individual
DR. SCOTT PAUL KURECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
12757 TAMIAMI TRL S, NORTH PORT, FL 34287-1934
(941) 426-1167
(941) 426-2571
Mailing address
12757 TAMIAMI TRL S, NORTH PORT, FL 34287-1934
(941) 426-1167
(941) 426-2571
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0001946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029759300
—
FL
01
—
480007561
RAILROAD MEDICARE
FL
01
—
65088
BC/BS OF FLORIDA
FL
01
—
N7786
MEDICARE EDI SENDER NUMBR
FL
Enumeration date
06/22/2006
Last updated
03/07/2023
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