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Contact Information

KULAK OCULOFACIAL LLC
530 JACKSONVILLE DR
JACKSONVILLE BEACH, FL32250-3813
 Phone: 904-775-5275
 Fax: 904-853-1414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KULAK OCULOFACIAL LLC

NPI # 1013681774
LBN Legal business name KULAK OCULOFACIAL LLC
Authorized official AMY KULAK - (OWNER/AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2021
Last updated 01/26/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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