Individual
JAMES L MCMULLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
8057 SPYGLASS HILL RD, SUITE 102, MELBOURNE, FL 32940-8565
(321) 435-3500
(321) 435-3501
Mailing address
930 S HARBOR CITY BLVD, MELBOURNE, FL 32901
(321) 725-5050
(321) 725-9100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290844100
—
FL
Enumeration date
04/20/2006
Last updated
02/06/2015
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