Provider Demographics
NPI:1285640086
Name:HULECKI, JOY (ARNP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:HULECKI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:787 37TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-7305
Mailing Address - Country:US
Mailing Address - Phone:772-567-3003
Mailing Address - Fax:772-567-2926
Practice Address - Street 1:787 37TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7305
Practice Address - Country:US
Practice Address - Phone:772-567-3003
Practice Address - Fax:772-567-2926
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9189789363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU6756Medicare ID - Type Unspecified
FLQ60570Medicare UPIN