SAMUEL D KULICK (NPI# 1023016987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023016987 |
| Entity Type | Individual |
| Full Name | SAMUEL D KULICK |
| Credential | DPM |
| Practice Address |
3636 University Blvd S Bldg C Jacksonville FL 32216-4250 |
| Practice Telephone | 9047311711 |
| Practice Fax Number | 9047319270 |
| Mailing Telephone | 9047311711 |
| Mailing Fax Number | 9047319270 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2010-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3308 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00784166 | 01 | |
| FL | BCBS | 65978 | 01 |
| Street Address |
3636 UNIVERSITY BLVD S BLDG C |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902458722 | Covenant Home Health Care 4, LLC | Home Health | 3636 University Blvd S, Jacksonville, FL 32216-4250 | 2019-07-11 |
| 1801379409 | Bellavista Dermatology Group LLC | Dermatology | 3636 University Blvd S, Unit B2, Jacksonville, FL 32216 | 2018-09-10 |
| 1639528532 | Precision Eyewear of Wolchok Eye, LLC | Eyewear Supplier (Equipment, not the service) | 3636 University Blvd S, Suite A2, Jacksonville, FL 32216-4250 | 2016-06-10 |
| 1619371465 | Swapnilkumar P Patel | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2014-10-22 |
| 1780958314 | Indian Rehabilitation Center, Inc | Clinic/Center | 3636 University Blvd S, Ste A7, Jacksonville, FL 32216-4250 | 2012-02-29 |
| 1689942302 | Adler Podiatry Clinic Pllc | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2011-12-08 |
| 1255567301 | Adler Podiatry and Wound Care LLC | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2009-06-03 |
| 1356503007 | Osvaldo Contarini Md Pa | Surgery | 3636 University Blvd S, Bldg B, Jacksonville, FL 32216-4250 | 2008-06-25 |
| 1558491258 | Myron F Mass Md Pa | Allergy & Immunology | 3636 University Blvd S, Suite B-2, Jacksonville, FL 32216-4250 | 2007-03-06 |
| 1740324102 | Stephen Mark Wolchok | Ophthalmology | 3636 University Blvd S, A2, Jacksonville, FL 32216-4250 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487146890 | First Coast Medical Network LLC | Podiatrist | 2645 Cody Dr, Jacksonville, FL 32223-5585 | 2018-05-31 |
| 1023461480 | Cynthia Correa-cedeno | Podiatrist | 14011 Beach Blvd Ste 220, Jacksonville, FL 32250-1695 | 2016-07-20 |
| 1083029698 | Norshae Robinson | Podiatrist | Total Foot Care and Wellness Clinic, 8613 Old Kings Rd South, Suite 301, Jacksonville, FL 32217-4845 | 2014-06-23 |
| 1457529976 | Earl Horowitz Dpm Pa | Podiatrist | 2236 Park St, Jacksonville, FL 32204-4316 | 2008-02-19 |
| 1992838296 | Howard G Groshell Jr. | Podiatrist | 2236 Park Street, Jacksonville, FL 32204-4316 | 2007-03-14 |
| 1356400642 | Smita Malhotra Dpm Pa | Podiatrist | 4213 Metron Dr, Jacksonville, FL 32216-1012 | 2006-12-06 |
| 1457432387 | Podiatry Associates of Florida Inc | Podiatrist | 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 | 2006-10-18 |
| 1154432219 | Earl R Horowitz D P M Pa | Podiatrist | 2550 Park St, Jacksonville, FL 32204-4518 | 2006-08-31 |
| 1942319645 | Jeffrey L Burmeister | Podiatrist | 2762 Dunn Ave, Jacksonville, FL 32218-4659 | 2006-08-29 |
| 1306871827 | Theodore Joseph Piano | Podiatrist | 4142 Hanging Moss Ct, Jacksonville, FL 32257-7658 | 2006-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.