MEDICARE: ANDRZEJ KUCHCIAK MD

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	207L00000X	Anesthesiology Physician	ME0073304	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	41377	OTHER		BCBS

General Provider Information

NPI Number	:	1942256433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRZEJ KUCHCIAK MD

Provider Business Mailing Address
First Line	:	15771 CEDAR GROVE LN
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7031 SW 62ND AVE
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4701
Country	:	US
Telephone Number	:	305-284-7500
Fax Number	:

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	02/09/2024

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