Individual
ANDREW HODULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
14551 HOPE CENTER LOOP STE 200, FORT MYERS, FL 33912-4705
(239) 264-7026
(239) 567-3679
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11033158
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11033158
FL
390200000X
Student in an Organized Health Care Education/Training Program
RN9494162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122890100
—
FL
Enumeration date
05/23/2024
Last updated
10/06/2025
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