Individual
ELISE ELLEN KULAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, FLORIDA HOSPITAL FLAGLER, PALM COAST, FL 32164-5980
(386) 586-2000
Mailing address
5 RADIO RD, ST AUGUSTINE, FL 32084-2881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103202
FL
Other
Enumeration date
06/17/2006
Last updated
01/13/2013
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