| Organization Name: | SCOTT P KURECKI DPM PA |
| NPI Number: | 1851578918 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENEE KURECKI (OWNER/MANAGER) |
| Mailing Address: | 12757 Tamiami Trl S North Port |
| State: | FL US |
| Postal Code: | 342871934 |
| Phone Number: | 9414261167 |
| Fax Number: | 9414262571 |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 07/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | PO0001946 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |