Individual
DR. JEFFREY J BULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8455 66TH ST, PINELLAS PARK, FL 33781-1206
(727) 545-2339
(727) 545-1644
Mailing address
PO BOX 1787, PINELLAS PARK, FL 33780-1787
(727) 548-7732
(727) 545-1644
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0S5595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058000700
—
FL
01
—
220025650
RR MEDICARE
FL
01
—
80591
BCBS
FL
01
—
L9274
BCBS
FL
Enumeration date
09/05/2006
Last updated
08/20/2009
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