Individual
SAMUEL D KULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9397 SAN JOSE BLVD UNIT 1, JACKSONVILLE, FL 32257-5637
(904) 731-9293
(904) 636-0223
Mailing address
9397 SAN JOSE BLVD UNIT 1, JACKSONVILLE, FL 32257-5637
(904) 731-9293
(904) 636-0223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65978
BCBS
FL
01
—
P00784166
RAILROAD MEDICARE
—
Enumeration date
07/13/2005
Last updated
07/10/2025
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