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Individual

ALANA NICOLE BULLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
270 S MOON AVE, BRANDON, FL 33511-5711
(813) 571-9988
(813) 571-9922
Mailing address
6006 49TH ST N, SUITE 310, ST PETERSBURG, FL 33709-2148
(727) 490-5040
(727) 490-5045

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9107779
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011680200
FL
Enumeration date
12/11/2013
Last updated
01/19/2016
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