Gary Mitchell Pullias in Bradenton - Specialist

Gary Mitchell Pullias - NPI 1063401495

Gary Mitchell Pullias is a Specialist in Bradenton, Florida. Gary Mitchell Pullias practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gary Mitchell Pullias is 1063401495. The last update date is 2008-09-17.

Gary Mitchell Pullias's current location address is 2704 Manatee Ave. West, Bradenton, Florida. You can contact this provider via phone number 9417488855 and fax number 9417488465. The mailing address for Gary Mitchell Pullias is 2704 Manatee Ave. West, Bradenton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Mitchell Pullias
Address 2704 Manatee Ave. West, Bradenton, Florida
Phone Number 9417488855
Fax Number 9417488465
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063401495
Provider Enumeration Date 2005-10-18
Last Updated Date 2008-09-17

Provider Mailing Address Detail

Address 2704 Manatee Ave. West
City Bradenton
State Florida (FL)
Post Code 34205
Phone Number 9417488855
Fax Number 9417488465

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME0037875
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
67686100 FL --

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FAQs about Gary Mitchell Pullias

What is the unique 10-digit identification code issued to Gary Mitchell Pullias by the Centers for Medicare & Medicaid Services?

The Gary Mitchell Pullias has been assigned the NPI (National Provider Identifier) 1063401495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Gary Mitchell Pullias is located?

The Gary Mitchell Pullias is situated at the following address: 2704 Manatee Ave. West, Bradenton, FL, 34205.

What is Gary Mitchell Pullias's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary Mitchell Pullias's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063401495 to Gary Mitchell Pullias?

The Centers for Medicare & Medicaid Services originally issued the 1063401495 to Gary Mitchell Pullias on 2005-10-18.

As of what date was the information pertaining to Gary Mitchell Pullias, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gary Mitchell Pullias, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-09-17.

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