Bullard, Scott Jay

Bullard, Scott Jay is an individual health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bullard, Scott Jay can be contacted via phone (352) 253-3333.

Contact Information

Primary practice address
1000 Waterman Way Tavares FL 32778-5266
Phone: (352) 253-3333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 00026615 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 00026615 Alabama
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME73700 Florida

Profile Details

NPI number 1083689053
LBN Legal business name Bullard, Scott Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083689053 NPPES
Florida Other 41880 BCBS

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