Jan Kubicki

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME80462 Issued in FL

Legal business name

JAN KUBICKI

Practice address

19404 Solarzano St
Venice, FL 34293-4549

Phone

(585) 734-2260

NPI assigned

Feb 24, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jan Kubicki, MD

Title

Owner

Phone

(585) 734-2260

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1043750052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19404 SOLARZANO ST",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934549",
            "telephone_number": "585-734-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19404 SOLARZANO ST",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934549",
            "telephone_number": "585-734-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN KUBICKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "KUBICKI",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-734-2260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME80462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Elizabeth Jacobson, BS
• Jacqueline Z Fay OD PA
• Barbara B. Jaehne, AU.D.
• James D Shortt MD PA
• James J Gulick DC PA
• Jeffrey Alan Janoff, D.M.D.,M.SC.D.
• Michael H Jaquith, MD
• Patricia Ann Jasionowski, M.D.
• Charles Keith Jaskulski, D.C.
• Christopher L Jefferson, MD

• Clinic/Center in Venice, FL
• Providers in Venice, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.