Organization
WILLIAM T TRABULSI DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM THEODORE TRABULSI DPM (PODIATRIST)
(813) 406-4806
Entity
Organization
Contact information
Practice address
19013 N DALE MABRY HWY, LUTZ, FL 33548-9200
(813) 406-4806
(813) 406-4807
Mailing address
19013 N DALE MABRY HWY, LUTZ, FL 33548-9200
(813) 406-4806
(813) 406-4807
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003002759
MOBILE PHYSICIAN SERVICE, P.A.
FL
01
—
DE7120
MEDICARE RAILROAD
FL
Enumeration date
10/04/2007
Last updated
09/11/2012
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