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Provider Information for 1104991728

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

PAUL M PULCINI M.D.

Gender: MALE

Individual NPI: 1104991728

Calendar   Last Updated:  2020-05-19
  Certification Date:  2020-05-19

Details

Name Value
NPI 1104991728
Enumeration Date 2006-11-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 6101 WEBB RD SUITE 308
TAMPA, FL 33615-2872
United States

Phone: 813-269-6426 | Fax: 813-342-5261
View Map External Link
Primary Practice Address 6101 WEBB RD SUITE 308
TAMPA, FL 33615-2872
United States

Phone: 813-269-6426 | Fax: 813-342-5261
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL ME83175