Individual
ALEXANDER W. HODULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6821 PALISADES PARK CT STE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3780
(239) 343-3781
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
PA9113326
FL
363A00000X
Physician Assistant
Primary
PA9113326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101100
—
FL
Enumeration date
07/02/2020
Last updated
03/30/2026
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