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Contact Information

PERSIS C PUELLO, MD
247 S HUEY AVE
TARPON SPRINGS, FL34689-4205
 Phone: 727-824-8181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PERSIS C PUELLO · (Female)

NPI Number 1740742766
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2019
Last updated 09/24/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME155116
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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