Individual
DR. ALBERTO ANTONIO RULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 756-1394
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 756-1394
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
N004908-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497938
—
NY
01
—
1400062
GHI
NY
01
—
P52221
BLUE CROSS/BLUE SHIELD
NY
01
—
PO-4908-1
WORKMAN'S COMP
NY
Enumeration date
01/20/2006
Last updated
12/06/2024
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