Individual
JAY KUCHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10244 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5615
(772) 924-2527
(772) 337-9034
Mailing address
10244 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5615
(772) 924-2527
(772) 337-9034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 50771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04404
BCBS OF FLORIDA
FL
Enumeration date
04/28/2006
Last updated
04/17/2013
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