Individual
DR. MALCOLM R BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, NEUROSURGERY, MIAMI, FL 33136-1002
(305) 243-6946
(305) 243-3337
Mailing address
1095 NW 14TH TER, 2ND FLOOR, MIAMI, FL 33136-1060
(305) 243-6946
(305) 243-3337
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101058845
VA
Other
Enumeration date
07/04/2006
Last updated
02/14/2017
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