GARY M PULLIAS M.D. PA NPI 1588968721

NPI Information

GARY M PULLIAS M.D. PA is a medical specialty clinic center in Bradenton, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GARY M PULLIAS M.D. PA NPI is 1588968721. The provider is registered as an organization entity type.

The provider's business location address is:

2704 MANATEE AVE W
BRADENTON, FL
ZIP 34205-940
Phone: (941) 748-8855
Fax: (941) 748-8465

The provider's authorized official is Gary Pullias .
The authorized official title is Owner and has the following contact phone number (941) 748-8855.

The enumeration date for this NPI number is 1/3/2011 and was last updated on 1/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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