Kotula, Jason

Kotula, Jason is an individual health care provider with primary practice located at 3627 University Blvd S Ste 415 , Jacksonville FL 32216-4299. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kotula, Jason can be contacted via phone (904) 296-2522.

Contact Information

Primary practice address
3627 University Blvd S Ste 415 Jacksonville FL 32216-4299
Phone: (904) 296-2522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001621 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009808 New York

Profile Details

NPI number 1548263882
LBN Legal business name Kotula, Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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