Individual
DR. JOHN MULLINAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12902 MAGNOLIA DRIVE, TAMPA, FL 33612
(813) 745-8206
Mailing address
12902 MAGNOLIA DRIVE, TAMPA, FL 33612
(813) 745-8206
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 107440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 107440
STATE LICENSE
FL
Enumeration date
08/09/2007
Last updated
01/28/2015
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