Organization
CHARLES A SULESKEY DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A SULESKEY DPM (OWNER)
(941) 493-7999
Entity
Organization
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
PO 1729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152463529
CHAMPUS
FL
01
—
480029500
RR MEDICARE
FL
01
—
87901
BC BS FL
FL
Enumeration date
12/26/2007
Last updated
07/11/2011
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