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
Address 17013 Pines Blvd, Pembroke Pines, Florida
Phone Number 9544504200
Fax Number 9544504237
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1902912793
Provider Enumeration Date 2006-08-22
Last Updated Date 2011-05-20

Provider Mailing Address Detail

Address 17013 Pines Blvd
City Pembroke Pines
State Florida (FL)
Post Code 330271003
Phone Number 9544504200
Fax Number 9544504237

Provider's Primary Taxonomy Detail

Speciality Podiatrist
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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FAQs about Neal M Bullock

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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