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Individual

DR. MATTHEW PAUL KOCHUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
653 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1015
(904) 244-7454
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 383-1015
(904) 244-7454

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT204018
PA
2086S0102X
Surgical Critical Care Physician
Primary
ME141452
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316385727
GENERAL SURGERY
MD
Enumeration date
06/07/2013
Last updated
02/24/2026
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