Provider Demographics
NPI:1821026964
Name:KULUZ, JOHN W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:KULUZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3100 SW 62ND AVE
Mailing Address - Street 2:MIAMI CHILDREN'S HOSPITAL
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3009
Mailing Address - Country:US
Mailing Address - Phone:305-662-8386
Mailing Address - Fax:305-663-8489
Practice Address - Street 1:3100 SW 62ND AVE
Practice Address - Street 2:MIAMI CHILDREN'S HOSPITAL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:305-662-8386
Practice Address - Fax:305-663-8489
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME482132080P0203X
NM2011-01872080P0203X
AZ463192080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0647063-00Medicaid
FL11592Medicare ID - Type Unspecified
FL0647063-00Medicaid
FL11592VMedicare PIN