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Organization
MULLALLY HOLDINGS PLC
Active
Organization
MULLALLY HOLDINGS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANDREW MULLALLY SR. M.D. (OWNER)
(352) 794-3862
Entity
Organization
Contact information
Practice address
11515 W EMERALD OAKS DR, CRYSTAL RIVER, FL 34428-2815
(352) 794-3862
(352) 794-3844
Mailing address
11515 W EMERALD OAKS DR, CRYSTAL RIVER, FL 34428-2815
(352) 794-3862
(352) 794-3844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME104121
FL
Other
Enumeration date
11/17/2006
Last updated
09/15/2009
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