Individual
VIKTOR KOLODICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
Mailing address
12137 CANCUN DR, JACKSONVILLE, FL 32225-4687
(828) 551-5669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9454359
FL
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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