Provider Demographics
NPI:1245282482
Name:VUKICH, ALISON ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:ELAINE
Last Name:VUKICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:ELAINE
Other - Last Name:HITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 746638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6638
Mailing Address - Country:US
Mailing Address - Phone:904-202-2092
Mailing Address - Fax:904-376-4075
Practice Address - Street 1:12341 YELLOW BLUFF RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-2025
Practice Address - Country:US
Practice Address - Phone:904-757-8308
Practice Address - Fax:904-376-4107
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 83100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01321198OtherRAILROAD MEDICARE
FLP01321198OtherRAILROAD MEDICARE
FL05082XMedicare ID - Type Unspecified
FL05082WMedicare PIN