Individual
DR. PHILLIP A PULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8370 W HILLSBOROUGH AVE, SUITE 103, TAMPA, FL 33615-3898
(813) 302-1733
(813) 881-1801
Mailing address
8370 W HILLSBOROUGH AVE, SUITE 103, TAMPA, FL 33615-3898
(813) 302-1733
(813) 881-1801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS9141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270122
WELLCARE/STAYWELL
FL
01
—
37616
BLUE SHIELD FLORIDA
FL
01
—
6007198002
CIGNA
FL
01
—
7931531
AETNA
FL
Enumeration date
08/11/2005
Last updated
08/15/2013
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