Individual
TRACY L KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
260 PASEO REYES DR, ST AUGUSTINE, FL 32095-8462
(904) 806-3441
(904) 592-5370
Mailing address
260 PASEO REYES DR, SAINT AUGUSTINE, FL 32095-8462
(904) 806-3441
(904) 592-5370
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1598
FL
Other
Enumeration date
07/10/2006
Last updated
09/07/2020
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