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Contact Information

MARK A KUZICH, DO
1918 RANDOLPH RD STE 300
CHARLOTTE, NC28207-1112
 Phone: 704-333-0741
 Fax: 704-333-3356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK A KUZICH · (Male)

NPI # 1033347265
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/25/2009
Last updated 11/05/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • FL License # OS13910
  • MI License # 5101018249
  • NC License # 2022-01521
  • FL Medicaid 018473200
  • FL Other TLFUQ FLORIDA BLUE
Hospital affiliation(s)
  • MARTIN MEMORIAL MEDICAL CENTER - (Acute Care)
    200 SE HOSPITAL AVE
    STUART, FL 34995
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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