Individual
JAYME A KUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 936-1343
Mailing address
PO BOX 7006, FORT MYERS, FL 33911-7006
(239) 931-3440
(239) 931-3454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AE289Y
MEDICARE
FL
Enumeration date
04/13/2007
Last updated
03/22/2012
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