Kucharewicz, Jacek M
Kucharewicz, Jacek M is an individual health care provider with primary practice located at 540 Trinity Ln N #8412, St Petersburg FL 33716-1278. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kucharewicz, Jacek M can be contacted via phone (910) 409-4207.Contact Information
Primary practice address
540 Trinity Ln N #8412
St Petersburg FL 33716-1278
Phone: (910) 409-4207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | TRAINING LICENSE | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34101 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME126030 | Florida |
Profile Details
| NPI number | 1437438710 |
|---|---|
| LBN Legal business name | Kucharewicz, Jacek M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2011 |
| Last updated | Oct 18th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437438710 | NPPES |
| South Carolina | Other | 34101 | STATE LICENSE |
| South Carolina | Other | ME126030 | STATE LICENSE |
| South Carolina | Other | 0101255118 | STATE LICENSE |
Popular Providers
-
Dees, Paola B
601 5Th St S 5Th Floor, St Petersburg FL 33701-4804 -
Anga, Altaf Gulamhusain
7000 4Th St N Ste A , St Petersburg FL 33702-5903 -
Hopkins, Akshata M
501 6Th Ave S Dept 6580070205, St Petersburg FL 33701-4634 -
Kotwal, Bipan
1033 Dr Martin Luther King Jr St N Suite 108, St Petersburg FL 33701 -
Paraskevopoulos, Nektaria
10000 Bay Pines Blvd , St Petersburg FL 33744 -
Mcgrogan, William F.
1839 Central Ave , St Petersburg FL 33713-8900 -
Azzi, Nadine
1839 Central Ave Professional Health Care Of Pinellas, St Petersburg FL 33713-8900 -
Dudas, Robert A
501 6Th Ave S Dept Of , St Petersburg FL 33701-4634