Individual
PULIN BEHARI KOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR FL 3, UFJP PEDIATRIC CRITICAL CARE, JACKSONVILLE, FL 32207-8202
(904) 202-8758
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME95129
FL
Other
Enumeration date
01/15/2007
Last updated
10/23/2007
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