Bullock, Neal M

Bullock, Neal M is an individual health care provider with primary practice located at 17013 Pines Blvd , Pembroke Pines FL 33027-1003. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bullock, Neal M can be contacted via phone (954) 450-4200.

Contact Information

Primary practice address
17013 Pines Blvd Pembroke Pines FL 33027-1003
Phone: (954) 450-4200
Fax: (954) 450-4237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0002571 Florida

Profile Details

NPI number 1902912793
LBN Legal business name Bullock, Neal M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated May 20th, 2011 - about 14 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 1902912793 NPPES
Florida Other 65515 BLUE CROSS BLUE SHIELD
Florida MEDICAID 390394000 BLUE CROSS BLUE SHIELD

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