Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON KOTULA, P.A.
ActivePhysician Assistant · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1548263882
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (20.910104939106 yrs)
- Last Updated
- Feb 10, 2022
- Licenses
-
001621 (CT)009808 (NY)
Practice Information
- Address
-
3627 UNIVERSITY BLVD S STE 415JACKSONVILLE, FL, 322164299Browse FL providers · Browse ZIP 32216
- Phone
- 9042962522
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| DANIEL A BECK | PA-C | 1780688465 |
| JOHN MICHAEL TIERNEY | PA | 1124023445 |
| KAREN ELAINE MAYES | PA | 1437154887 |
| EDWIN HAUSER | PA | 1760487185 |
| PETER J RIGGS | PA | 1255336574 |
| MRS. MICHELLE PINTO WADE | PA-C | 1518969377 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.