Provider Demographics
NPI:1124089842
Name:HURCHIK, JOHN MICHAEL (DPM)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MICHAEL
Last Name:HURCHIK
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 ARGERIAN DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-4505
Mailing Address - Country:US
Mailing Address - Phone:813-788-1006
Mailing Address - Fax:407-671-4155
Practice Address - Street 1:5841 ARGERIAN DR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4505
Practice Address - Country:US
Practice Address - Phone:813-788-1006
Practice Address - Fax:407-671-4155
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3515213ER0200X, 213ES0000X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLNT293OtherMEDICARE
MA97630001Medicaid
MA0358134Medicaid
FL113331700Medicaid
0309964Y0MA01OtherBCBS OF NH
MAY77075Medicare PIN