Individual
DR. JEFFREY ANDREW GULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8745 N WICKHAM RD, MELBOURNE, FL 32940-5997
(321) 434-3474
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-3474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101016416
MI
207R00000X
Internal Medicine Physician
OS20379
FL
208M00000X
Hospitalist Physician
Primary
OS20379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120820400
—
FL
01
—
SB817
MEDICARE HF
FL
Enumeration date
12/27/2007
Last updated
02/10/2025
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