Provider Demographics
NPI:1053332080
Name:STEPHEN B. HULEN D. M. D. P. A.
Entity Type:Organization
Organization Name:STEPHEN B. HULEN D. M. D. P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:BARR
Authorized Official - Last Name:HULEN
Authorized Official - Suffix:
Authorized Official - Credentials:D M D
Authorized Official - Phone:863-385-8422
Mailing Address - Street 1:3838 US HIGHWAY 27 S
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-5406
Mailing Address - Country:US
Mailing Address - Phone:863-385-8422
Mailing Address - Fax:863-385-0432
Practice Address - Street 1:3838 US HIGHWAY 27 S
Practice Address - Street 2:SUITE 4
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5406
Practice Address - Country:US
Practice Address - Phone:863-385-8422
Practice Address - Fax:863-385-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0010207261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT96215Medicare UPIN