Individual
JOHN ROBERT BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2023 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4472
(904) 272-2020
Mailing address
2023 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073-4472
(904) 272-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME143132
FL
Other
Enumeration date
03/16/2015
Last updated
08/06/2020
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