Individual
TODD CHARLES HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13000 US HIGHWAY 1 STE 5, SEBASTIAN, FL 32958-3773
(772) 581-5881
(772) 581-5883
Mailing address
13000 US HIGHWAY 1 STE 5, SEBASTIAN, FL 32958-3773
(772) 581-5881
(772) 581-5883
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
371
MT
363AS0400X
Surgical Physician Assistant
Primary
PA9110158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000900853
BLUECROSS BLUESHIELD
MT
05
—
021131500
—
FL
05
—
4303728
—
MT
01
—
P00163692
RR MEDICARE
MT
Enumeration date
07/26/2005
Last updated
04/07/2025
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