Individual
DR. STEVEN L MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 AIRPORT RD, PANAMA CITY, FL 32405-4605
(850) 785-0788
(850) 785-1066
Mailing address
PO BOX 1969, PANAMA CITY, FL 32402-1969
(850) 785-0788
(850) 785-1066
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0088963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37832
BCBS FLORIDA
FL
01
—
P00155017
RAILROAD MEDICARE
FL
Enumeration date
03/31/2006
Last updated
02/17/2010
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