Individual
MICHAEL R PULFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1194
Mailing address
2601 S BLAIR STONE RD STE GC3, TALLAHASSEE, FL 32301-5939
(850) 445-1156
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1283
AL
367H00000X
Anesthesiologist Assistant
Primary
AA150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821379488
—
AL
Enumeration date
09/08/2011
Last updated
12/14/2021
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