Provider Demographics
NPI:1336380690
Name:ANDREW J HULL D C P A
Entity Type:Organization
Organization Name:ANDREW J HULL D C P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-217-0609
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9573111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty