person
Dr. Alberto Antonio Rullan, DPM
Foot & Ankle Surgery Podiatrist in Jacksonville, Florida
NPI 1275513541

Alberto Antonio Rullan is a Foot & Ankle Surgery Podiatrist based in Middleburg, FL and is specialized in Foot & Ankle Surgery. Alberto Antonio Rullan practices in Jacksonville, FL and has the professional credentials of DPM. The NPI Number for Alberto Antonio Rullan is 1275513541 and holds a License No. N004908-1 (Florida).

The current practice location address for Alberto Antonio Rullan is 1740 Edgewood Ave W, Jacksonville, FL and can be reached out via phone at 904-224-2001 and via fax at 904-224-2002. You can also correspond with Alberto Antonio Rullan through the mailing address at 1658 ST VINCENTS WAY STE 250, MIDDLEBURG, FL - 32068-8431 (mailing address contact number: 904-291-4885).

Location: 1740 Edgewood Ave W, Jacksonville, FL, 32068-8431
person
Provider Profile Details
NPI Number
1275513541
Provider Name
Alberto Antonio Rullan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1740 Edgewood Ave W, Jacksonville, FL, 32068-8431
Phone Number
904-224-2001
Fax Number
904-224-2002
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1400062 01 NY GHI
PO-4908-1 01 NY WORKMAN'S COMP
01497938 05 NY
P52221 01 NY BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1740 Edgewood Ave W
City
State
Zip
32208
Phone Number
904-224-2001
Fax Number
904-224-2002
person
Provider Business Mailing Address Details
Address
1740 Edgewood Ave W
City
State
Zip
32208
Phone Number
904-224-2001
Fax Number
904-224-2002
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
N004908-1 (New York)
Definition
Definition to come...
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