Dmitriy Stukalov

Contractor · Sarasota, FL

Individual Active NPI

NPI number 1265224414

Practice location

4683 Cedron Ct
Sarasota, FL 34240-2547
Phone
(503) 999-5016
Fax
(503) 999-5016

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NPI record

NPI
1265224414
Entity type
Individual (Type 1)
Enumeration date
May 21, 2025
Last updated
May 21, 2025
Certified
May 21, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

About Dmitriy Stukalov

Dmitriy Stukalov is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 4683 Cedron Ct, Sarasota, FL 34240-2547. The NPI number 1265224414 was assigned on May 21, 2025 and the record was last updated on May 21, 2025.

Frequently asked questions

What is the NPI number of Dmitriy Stukalov?

The NPI number is 1265224414.

What is the phone number of Dmitriy Stukalov?

The phone number listed for the practice location is (503) 999-5016.

Where is Dmitriy Stukalov located?

4683 Cedron Ct, Sarasota, FL 34240-2547.

What is the taxonomy code for Dmitriy Stukalov?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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