NEAL M BULLOCK DPM PA (NPI# 1598935249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598935249 |
| Entity Type | Organization |
| Organization Name | NEAL M BULLOCK DPM PA |
| Practice Address |
17013 Pines Blvd Pembroke Pines FL 33027-1003 |
| Practice Telephone | 9544504200 |
| Practice Fax Number | 9544504237 |
| Mailing Telephone | 9544504200 |
| Mailing Fax Number | 9544504237 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2011-05-20 |
| Authorized Official Name | DR. NEAL M BULLOCK (PRESIDENT OWNER) |
| Authorized Official Telephone | 9544504200 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers | |
| Y | 213E00000X | Podiatrist | PO2571 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 390394000 | 05 |
| Street Address |
17013 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902912793 | Neal M Bullock | Podiatrist | 17013 Pines Blvd, Pembroke Pines, FL 33027-1003 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730599242 | Lhf Associates, LLC | Podiatrist | 20809 Nw 17th Street, Pembroke Pines, FL 33029 | 2014-05-06 |
| 1891053096 | Ehab Latif | Podiatrist | 1391 Nw 122nd Ter, Pembroke Pines, FL 33026-4308 | 2012-04-25 |
| 1902912793 | Neal M Bullock | Podiatrist | 17013 Pines Blvd, Pembroke Pines, FL 33027-1003 | 2006-08-22 |
| 1760432280 | Howard W Umansky | Podiatrist | 15841 Pines Blvd Ste B262, Pembroke Pines, FL 33027-1220 | 2006-05-12 |
| 1033118377 | Barry Drossner | Podiatrist | 9692 Pines Blvd, Pembroke Pines, FL 33024-6246 | 2005-07-19 |
| 1477150670 | Certified Foot & Ankle Specialists | Podiatrist | 10446 Taft St, Pembroke Pines, FL 33026-2819 | 2020-10-01 |
| 1235611534 | Cary M Zinkin Dpm, Pa | Podiatrist | 12177 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2018-09-04 |
| 1174028757 | V.i.p. Foot & Ankle Center, LLC | Podiatrist | 17751 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2018-03-27 |
| 1811308760 | Total Care Podiatry Pllc | Podiatrist | 1671 Sw 120th Ave, Pembroke Pines, FL 33025-3788 | 2014-05-14 |
| 1992085641 | Susan Elizabeth Gallegos | Podiatrist | 9692 Pines Blvd, Pembroke Pines, FL 33024-6246 | 2011-08-25 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
Please comment or provide details below to improve the information on NEAL M BULLOCK DPM PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.