Healthcare Provider Details

I. General information

NPI: 1821026964
Provider Name (Legal Business Name): JOHN W KULUZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE MIAMI CHILDREN'S HOSPITAL
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE MIAMI CHILDREN'S HOSPITAL
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-8386
  • Fax: 305-663-8489
Mailing address:
  • Phone: 305-662-8386
  • Fax: 305-663-8489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number46319
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number2011-0187
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberME48213
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: