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Individual

ADAM MULLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1040 GULF BREEZE PKWY STE 210, GULF BREEZE, FL 32561-7808
(850) 908-8697
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME126768
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018066000
FL
01
BZBC9
FLORIDA BLUE
FL
Enumeration date
04/23/2012
Last updated
02/18/2026
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