Individual
AMI B KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8161 CROSSWIND RD, JACKSONVILLE, FL 32244-5453
(904) 646-8887
Mailing address
8161 CROSSWIND RD, JACKSONVILLE, FL 32244-5453
(904) 646-8887
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105060100
—
FL
Enumeration date
12/17/2019
Last updated
02/28/2020
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