Individual
SCOTT M KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1564 KINGSLEY AVE, ORANGE PARK, FL 32073-4521
(904) 264-8801
(904) 621-0566
Mailing address
3717 WESTOVER RD, FLEMING ISLAND, FL 32003-7107
(517) 896-1375
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5101016005
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS16975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108927900
—
FL
05
—
1891729166
—
MI
Enumeration date
07/10/2006
Last updated
08/02/2023
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