Robert Keith Hulen III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7870 Issued in FL

Practice address

226 Domaris Ave
Lake Wales, FL 33853-4607

Phone

(863) 676-2810

Fax

(863) 676-3120

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902001035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 DOMARIS AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534607",
            "telephone_number": "863-676-2810",
            "fax_number": "863-676-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 DOMARIS AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534607",
            "telephone_number": "863-676-2810",
            "fax_number": "863-676-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULEN",
        "first_name": "ROBERT",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Health Care Group of Florida, Inc
• Erika Homidas, PTA
• Caroline C Honculada, M D
• Gwen Horne
• Fred I Howard III, MD
• Te Hui Hung
• Mia Apolo Hunt
• Internal Medicine Institute
• Eliezer Moshe Izsak, M.D.
• Hope Jackson

• General Practice Dentistry in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.