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Curtis Paul Mracek

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860 (904) 202-2092

PECOS Enrollment

This provider is enrolled in PECOS as CURTIS MRACEK.

Based on the most recent information from CMS, provider Curtis Paul Mracek is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1750670048
Provider Type
Individual
Full Name
Mracek, Curtis Paul
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/7/2011
Last Updated
10/21/2025

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-2092

(904) 376-4075

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License OS12810 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License OS12810 Florida

Provider Identifiers

ID	Description	Issuer
ID P01366906	Description Other	Issuer RR MEDICARE Florida
ID 012313200	Description Medicaid	Issuer Unlisted Florida

Curtis Paul Mracek

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Bahloul, Rami

Patel, Deval

Neuharth, Kristen Lynn

Maung, Toe Toe

Rotko, Tatjana A

Poling, Ryan David

Whittingham, Rohann Lloyd

Shah, Atif A

Vishnagara, Raj A

Robison, William T