Individual
CORY MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-AA
Contact information
Practice address
2936 LOCHCARRON DR, LAND O LAKES, FL 34638-7865
(478) 230-7974
Mailing address
2936 LOCHCARRON DR, LAND O LAKES, FL 34638-7865
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA367
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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