Individual
DR. BRIAN M MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13601 BRUCE B DOWNS BLVD, SUITE 321, TAMPA, FL 33613-4657
(813) 972-9300
(813) 972-9527
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0045710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040092100
—
FL
Enumeration date
10/10/2005
Last updated
01/27/2012
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