Individual
SHAMINDER SINGH BHULLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11373 CORTEZ BLVD, STE 400, BROOKSVILLE, FL 34613-5414
(352) 597-2604
(352) 596-0520
Mailing address
11373 CORTEZ BLVD, STE 400, BROOKSVILLE, FL 34613-5414
(352) 597-2604
(352) 596-0520
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME112489
FL
207W00000X
Ophthalmology Physician
P0008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005945600
—
FL
Enumeration date
07/13/2007
Last updated
12/05/2016
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