# GARY M PULLIAS M.D. PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588968721
- **Authorized official:** GARY PULLIAS M.D. (OWNER)
- **Authorized official phone:** (941) 748-8855

## Contact information

- **Practice address:** 2704 MANATEE AVE W, BRADENTON, FL 34205-4940
- **Practice address phone:** (941) 748-8855
- **Practice address fax:** (941) 748-8465
- **Mailing address:** 2704 MANATEE AVE W, BRADENTON, FL 34205-4940
- **Mailing address phone:** (941) 748-8855
- **Mailing address fax:** (941) 748-8465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 37875 | FL | Yes |

## Other

- **Enumeration date:** 01/03/2011
- **Last updated:** 01/03/2011
