| NPI | 1417215609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KULICK D.P.M. Podiatrist 904-731-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL po3308) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |