# DR. STEVEN L MULLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912968512
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME0088963 | FL | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 02/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37832 | BCBS FLORIDA | FL |
| 01 | — | P00155017 | RAILROAD MEDICARE | FL |
