Organization
NEAL M BULLOCK DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL M BULLOCK DPM (PRESIDENT OWNER)
(954) 450-4200
Entity
Organization
Contact information
Practice address
17013 PINES BLVD, PEMBROKE PINES, FL 33027-1003
(954) 450-4200
(954) 450-4237
Mailing address
17013 PINES BLVD, PEMBROKE PINES, FL 33027-1003
(954) 450-4200
(954) 450-4237
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2571
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390394000
—
FL
Enumeration date
03/10/2008
Last updated
05/20/2011
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