MEDICARE: JAMES KUFDAKIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	24403	OK

General Provider Information

NPI Number	:	1235178427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES KUFDAKIS M.D.

Provider Business Mailing Address
First Line	:	3401 PGA BLVD STE 310
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2824
Country	:	US
Telephone Number	:	561-776-8890
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 PGA BLVD STE 310
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2824
Country	:	US
Telephone Number	:	561-776-8890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	11/19/2025

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