Individual
SAMUEL S WOOCIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2014 S ORANGE AVE, SUITE 100, ORLANDO, FL 32806-3069
(407) 423-1234
(407) 517-1040
Mailing address
445 WARRIOR TRL, ENTERPRISE, FL 32725-2456
(407) 376-0522
(407) 386-3077
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041065900
—
FL
01
—
P00099490
R/R MEDICARE
FL
Enumeration date
02/15/2006
Last updated
08/27/2020
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