Healthcare Provider Details

I. General information

NPI: 1285640086
Provider Name (Legal Business Name): JOY HULECKI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 05/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

787 37TH ST SUITE 200
VERO BEACH FL
32960-7305
US

IV. Provider business mailing address

787 37TH ST SUITE 200
VERO BEACH FL
32960-7305
US

V. Phone/Fax

Practice location:
  • Phone: 772-567-3003
  • Fax: 772-567-2926
Mailing address:
  • Phone: 772-567-3003
  • Fax: 772-567-2926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number9189789
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: