MEDICARE: TODD CHARLES HULL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	371	MT
2	363AS0400X	Surgical Physician Assistant	PA9110158	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00163692	OTHER	MT	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000900853	OTHER	MT	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093715674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD CHARLES HULL PA-C

Provider Business Mailing Address
First Line	:	13000 US HIGHWAY 1 STE 5
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3773
Country	:	US
Telephone Number	:	772-581-5881
Fax Number	:	772-581-5883

Provider Business Practice Location Address
First Line	:	13000 US HIGHWAY 1 STE 5
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3773
Country	:	US
Telephone Number	:	772-581-5881
Fax Number	:	772-581-5883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	04/07/2025

Similar Medicare Providers

1407855174 — MRS. STARLEEN CELESTE SCHAFFER M.D.
Practice Location Address:

13000 US HIGHWAY 1 , SUITE 4
SEBASTIAN, FL
32958-3773

Practice Phone: 772-388-4000
Practice Fax: 772-388-4019

1609818343 — DR. KIRK EDWIN MAES M.D.
Practice Location Address:

13000 US HIGHWAY 1 , SUITE 5
SEBASTIAN, FL
32958-3773

Practice Phone: 772-581-5881
Practice Fax: 772-581-5883

1689619587 — KIRK E MAES M D P A
Practice Location Address:

13000 US HIGHWAY 1 , SUITE 5
SEBASTIAN, FL
32958-3773

Practice Phone: 772-581-5881
Practice Fax: 772-581-5883

1891729752 — DR. CARLOS ANDRES VIZCARRA PA M.D
Practice Location Address:

13000 US HIGHWAY 1 , SUITE 4
SEBASTIAN, FL
32958-3773

Practice Phone: 772-589-9188
Practice Fax: 772-589-9187

1154424703 — SEBASTIAN HMA PHYSICIAN MANAGEMENT, LLC
Practice Location Address:

13000 US HIGHWAY 1 , SUITE 5
SEBASTIAN, FL
32958-3773

Practice Phone: 772-589-2992
Practice Fax: 772-581-8331

1891909818 — SLP INVESTMENTS, INC
Practice Location Address:

13000 US HIGHWAY 1
SEBASTIAN, FL
32958-3773

Practice Phone: 772-388-5251
Practice Fax:

Directions to “ TODD CHARLES HULL PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.