Individual provider · Type 1 NPI

Carissa J. Kostecki, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Jacksonville, FL

NPI number 1720006828 Active

Practice location

800 Prudential Dr
Jacksonville, FL 32207-8202

Call (904) 396-5682 Map

Fax (904) 346-0864

Mailing address

820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XME85233 (FL)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1720006828

Carissa J. Kostecki, MD's National Provider Identifier is 1720006828, issued on Jul 17, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 17, 2008.