Organization
SCOTT P KURECKI DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE KURECKI (OWNER/MANAGER)
(941) 426-1167
Entity
Organization
Contact information
Practice address
12757 TAMIAMI TRL S, NORTH PORT, FL 34287-1934
(941) 426-1167
(941) 426-2571
Mailing address
12757 TAMIAMI TRL S, NORTH PORT, FL 34287-1934
(941) 426-1167
(941) 426-2571
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
PO0001946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029759300
—
FL
01
—
480007561
RAILROAD MEDICARE
FL
01
—
N7786
MEDICARE EDI SENDER
FL
Enumeration date
01/30/2008
Last updated
03/07/2023
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