National Provider Identifier Database

NEAL M BULLOCK DPM PA
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


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
* Podiatrist 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for NEAL M BULLOCK DPM PA

NPI Number 1598935249
Legal business name
LBN
NEAL M BULLOCK DPM PA
Authorized official NEAL BULLOCK - (PRESIDENT OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/10/2008
Last updated 05/20/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PO2571
  • FL Medicaid: 390394000

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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