Paul K Gulliksen in Ormond Beach - Orthopedic
Paul K Gulliksen - NPI 1104018233
Paul K Gulliksen is a Orthopedic in Ormond Beach, Florida. Paul K Gulliksen practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Paul K Gulliksen is 1104018233. The last update date is 2015-01-26.
Paul K Gulliksen's current location address is 1275 W Granada Blvd, Ormond Beach, Florida. You can contact this provider via phone number 3862651925 and fax number 3862651926. The mailing address for Paul K Gulliksen is 1275 W Granada Blvd, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul K Gulliksen |
|---|---|
| Address | 1275 W Granada Blvd, Ormond Beach, Florida |
| Phone Number | 3862651925 |
| Fax Number | 3862651926 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1104018233 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2015-01-26 |
Provider Mailing Address Detail
| Address | 1275 W Granada Blvd |
|---|---|
| City | Ormond Beach |
| State | Florida (FL) |
| Post Code | 321748259 |
| Phone Number | 3862651925 |
| Fax Number | 3862651926 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 7672 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the Paul K Gulliksen's unique identification number?
The Paul K Gulliksen has been assigned the NPI (National Provider Identifier) Number 1104018233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Paul K Gulliksen?
The Paul K Gulliksen is physically situated at 1275 W Granada Blvd, in the city of Ormond Beach, state of FL, with the postal code 321748259.
What is Paul K Gulliksen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul K Gulliksen's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 2251X0800X.
On what date did the Paul K Gulliksen receive its 1104018233 assignment from the Centers for Medicare & Medicaid Services?
The Paul K Gulliksen was assigned its 1104018233 by the Centers for Medicare & Medicaid Services on 2007-08-13.
When was the information pertaining to Paul K Gulliksen most recently updated or revised?
The details related to Paul K Gulliksen, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-26.
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