Organization
JOSEPH M KUKLA DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M KUKLA DPM (OWNER)
(239) 689-8910
Entity
Organization
Contact information
Practice address
8851 BOARDROOM CIR, FORT MYERS, FL 33919-4888
(239) 481-7000
(239) 433-8999
Mailing address
8851 BOARDROOM CIR, FORT MYERS, FL 33919-4888
(239) 689-8910
(239) 433-8999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6503W
BCBS
FL
Enumeration date
05/09/2011
Last updated
09/06/2011
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