Provider Demographics
NPI:1982866125
Name:HULL, ANDREW J (D C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:HULL
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 MINNESOTA AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-7114
Mailing Address - Country:US
Mailing Address - Phone:321-217-0609
Mailing Address - Fax:407-964-1314
Practice Address - Street 1:1298 MINNESOTA AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7114
Practice Address - Country:US
Practice Address - Phone:321-217-0609
Practice Address - Fax:407-964-1314
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor