Pullaro, John A

Pullaro, John A is an individual health care provider with primary practice located at 450 S Main St , Labelle FL 33935-4629. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Pullaro, John A can be contacted via phone (863) 675-2356.

Contact Information

Primary practice address
450 S Main St Labelle FL 33935-4629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11013251 Florida

Profile Details

NPI number 1265004022
LBN Legal business name Pullaro, John A
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2021
Last updated Mar 21st, 2022 - about 3 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 1265004022 NPPES
Florida MEDICAID 112249300

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