Neal M Bullock in Pembroke Pines - Podiatrist
Neal M Bullock - NPI 1902912793
Neal M Bullock is a Podiatrist in Pembroke Pines, Florida. Neal M Bullock practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Neal M Bullock is 1902912793. The last update date is 2011-05-20.
Neal M Bullock's current location address is 17013 Pines Blvd, Pembroke Pines, Florida. You can contact this provider via phone number 9544504200 and fax number 9544504237. The mailing address for Neal M Bullock is 17013 Pines Blvd, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Neal M Bullock |
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Address | 17013 Pines Blvd, Pembroke Pines, Florida |
Phone Number | 9544504200 |
Fax Number | 9544504237 |
Sole Proprietor | N |
Credentials | DPM |
NPI Number Detail
NPI Number | 1902912793 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
Address | 17013 Pines Blvd |
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City | Pembroke Pines |
State | Florida (FL) |
Post Code | 330271003 |
Phone Number | 9544504200 |
Fax Number | 9544504237 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | PO0002571 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
65515 | FL | BLUE CROSS BLUE SHIELD | |
390394000 | FL | -- |
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What is the unique identification code assigned to Neal M Bullock by the Centers for Medicare & Medicaid Services?
The Neal M Bullock has been issued the NPI (National Provider Identifier) 1902912793. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Neal M Bullock's physical address?
The Neal M Bullock is physically located at 17013 Pines Blvd, in the city of Pembroke Pines, FL, with the postal code 330271003.
What is Neal M Bullock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Neal M Bullock is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date was the 1902912793 assigned to Neal M Bullock?
The Neal M Bullock was issued its 1902912793 on 2006-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Neal M Bullock last refreshed?
The information related to the Neal M Bullock, including its address, specialty, and other relevant details, was last updated on 2011-05-20.
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