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1720006828
CARISSA J KOSTECKI
JACKSONVILLE, FL
NPI
1720006828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: FL ME85233)
Enumeration Date
2006-07-17
Last Update Date
2008-04-17
Business Address
Dr. CARISSA J KOSTECKI MD
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8202
Phone number: 904-396-5682
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Mailing Address
Dr. CARISSA J KOSTECKI MD
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207-8209
Phone number: 904-396-5682
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