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Organization

KULAK OCULOFACIAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY KULAK MD (OWNER/AUTHORIZED OFFICIAL)
(917) 715-2599
Entity
Organization

Contact information

Practice address
530 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3813
(904) 775-5275
(904) 853-1414
Mailing address
530 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3813
(904) 775-5275
(904) 853-1414

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
08/05/2021
Last updated
01/26/2024
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