Jacob Putkowski, PA-C

Physician Assistant · Plantation, FL

Individual Active NPI

NPI number 1093054652

Practice location

1368 N University Dr
Plantation, FL 33322-4734
Phone
(954) 577-0001

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NPI record

NPI
1093054652
Entity type
Individual (Type 1)
Enumeration date
February 1, 2013
Last updated
January 28, 2022
Certified
January 28, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9107020 FL
Physician Assistant 363A00000X 027832 NY

Mailing address

5229 N Dixie Hwy
Apt 29c2
Oakland Park, FL 33334-4028
Phone
(203) 300-9224

About Jacob Putkowski

Jacob Putkowski, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1368 N University Dr, Plantation, FL 33322-4734. The NPI number 1093054652 was assigned on February 1, 2013 and the record was last updated on January 28, 2022.

Jacob Putkowski lists 2 licenses in the registry: #PA9107020 (FL) for Physician Assistant; #027832 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacob Putkowski, PA-C?

The NPI number is 1093054652.

What is the phone number of Jacob Putkowski?

The phone number listed for the practice location is (954) 577-0001.

Where is Jacob Putkowski located?

1368 N University Dr, Plantation, FL 33322-4734.

What is the taxonomy code for Jacob Putkowski?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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