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Organization
STEPHEN M PULLEN PA
Active
Organization
STEPHEN M PULLEN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MCAFEE PULLEN OD (OWNER OPTOMETRIST)
(904) 262-2249
Entity
Organization
Contact information
Practice address
11808-1 SAN JOSE BLVD, JACKSONVILLE, FL 32223
(904) 262-2249
(904) 268-8283
Mailing address
11808-1 SAN JOSE BLVD, JACKSONVILLE, FL 32223
(904) 262-2249
(904) 268-8283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74964
BCBS
FL
Enumeration date
04/25/2006
Last updated
12/11/2007
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