Individual
MR. JASON KOTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3627 UNIVERSITY BLVD S STE 415, JACKSONVILLE, FL 32216-4299
(904) 296-2522
Mailing address
3627 UNIVERSITY BLVD S STE 415, JACKSONVILLE, FL 32216-4299
(904) 296-2522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001621
CT
363A00000X
Physician Assistant
Primary
009808
NY
Other
Enumeration date
05/31/2005
Last updated
02/10/2022
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