Individual
DAN W PULSIPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5089 LITTLE RD, NEW PORT RICHEY, FL 34655-1326
(727) 375-7929
(813) 635-2634
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
044062
GA
207Q00000X
Family Medicine Physician
Primary
OS9454
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000756819J
—
GA
01
—
03540
BCBS
FL
05
—
272237200
—
FL
Enumeration date
06/24/2005
Last updated
06/13/2024
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