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NPI Code Detail

MEDICARE: DR. ROBERT PAUL KULCHINSKY M.D.

MEDICARE: DR. ROBERT PAUL KULCHINSKY 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
1207R00000XInternal Medicine PhysicianMD491127CPA
2208M00000XHospitalist PhysicianME94453FL
3207R00000XInternal Medicine PhysicianME94453FL
4207R00000XInternal Medicine Physician80866GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
145681OTHERFLMEDICARE - GROUP
4P00259908OTHERFLRR MEDICARE
6E2746YOTHERFLMEDICARE - INDIVIDUAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
531035OTHERFLFLORIDA BLUE

General Provider Information

NPI Number : 1982683595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT PAUL KULCHINSKY M.D.
Provider Business Mailing Address
First Line : 1200 RIVERPLACE BLVD STE 620
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-1803
Country : US
Telephone Number : 904-396-6620
Fax Number : 904-396-6528
Provider Business Practice Location Address
First Line : 1200 RIVERPLACE BLVD
Second Line : SUITE 620
City : JACKSONVILLE
State : FL
Zip : 32207-9046
Country : US
Telephone Number : 904-396-6620
Fax Number : 904-396-6528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 03/20/2026

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