IndividualActive
Carissa Kostecki, MD
NPI 1720006828 · Pediatric Emergency Medicine (Pediatrics) Physician · Jacksonville, FL
Provider details
- NPI number
- 1720006828
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME85233 (FL)
Practice location
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 396-5682
Fax: (904) 346-0864
Mailing address
820 Prudential Dr Ste 713
Jacksonville, FL 32207-8209
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2008-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.