Samuel D Kulick DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3308 Issued in FL

Legal business name

SAMUEL D KULICK DPM

Practice address

9397 San Jose Blvd Ste 1
Jacksonville, FL 32257-5587

Phone

(904) 731-9293

Fax

(904) 636-0223

NPI assigned

Apr 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Kulick D.P.M., DPM

Title

Podiatrist

Phone

(904) 731-9293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel D Kulick, DPM

  • Podiatrist
  • Jacksonville, FL
  • NPI 1023016987
  Medicare reassignment NPD
• Sheldon F Wernow, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1669692844
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1417215609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 SAN JOSE BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575587",
            "telephone_number": "904-731-9293",
            "fax_number": "904-636-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 SAN JOSE BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575587",
            "telephone_number": "904-731-9293",
            "fax_number": "904-636-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL D KULICK DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "D.P.M.",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KULICK",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "904-731-9293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc (Sams Pharmacy 10-8116)
• Sams East Inc (Sams Pharmacy)
• Richard Woodville Sams II, M.D.
• Susan Leanne Samson, M.D.
• Samuel B. Gaskins IV DMD PA
• Samuel E. Myrick, Jr., M.D.
• Samuel Hathy III,O.D.
• Samuel Walters D.O.,P.a.
• Angelique Samuel, ARNP
• Ashleigh J Samuel

• Foot & Ankle Surgery Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.