Kudzol, Marc John

Kudzol, Marc John is an individual health care provider with primary practice located at 1650 Dunlawton Ave , Port Orange FL 32127-4754. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kudzol, Marc John can be contacted via phone (386) 322-3267.

Contact Information

Primary practice address
1650 Dunlawton Ave Port Orange FL 32127-4754
Fax: (386) 322-9321
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS0020054 Florida

Profile Details

NPI number 1326329640
LBN Legal business name Kudzol, Marc John
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Aug 31st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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