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Contact Information

NEAL M BULLOCK DPM PA
17013 PINES BLVD
PEMBROKE PINES, FL33027-1003
 Phone: 954-450-4200
 Fax: 954-450-4237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for NEAL M BULLOCK DPM PA · (Female)

NPI Number 1598935249
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2008
Last updated 05/20/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # PO2571
  • FL Medicaid 390394000
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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