NPI 1265224414

Dmitriy Stukalov

Practitioner Contractor Sarasota, FL

Practice location

Address: 4683 Cedron CT, Sarasota, FL 34240-2547
Phone: (503) 999-5016
Fax: (503) 999-5016

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1265224414
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2025
Record last updated: 21 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.