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Individual

DR. CHARLES A SULESKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1832 TAMIAMI TRL S, VENICE, FL 34293-3127
(941) 493-7999
(941) 493-6852
Mailing address
1832 TAMIAMI TRL S, VENICE, FL 34293-3127
(941) 493-7999
(941) 493-6852

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1729
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480029500
RR MEDICARE
FL
01
87901
BCBS
FL
Enumeration date
07/17/2006
Last updated
12/26/2013
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