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Richard J Bultman, MD
Family Medicine Physician in Orange Park, Florida
NPI 1316946189

Richard J Bultman is a Family Medicine Physician based in Orange Park, FL. Richard J Bultman practices in Orange Park, FL and has the professional credentials of MD. The NPI Number for Richard J Bultman is 1316946189 and holds a License No. ME017622 (Florida).

The current practice location address for Richard J Bultman is 1594 Kingsley Ave, Orange Park, FL and can be reached out via phone at 904-264-8621 and via fax at 904-215-9418.

Location: 1594 Kingsley Ave, Orange Park, FL, 32073-4546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316946189
Provider Name
Richard J Bultman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1594 Kingsley Ave, Orange Park, FL, 32073-4546
Phone Number
904-264-8621
Fax Number
904-215-9418
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000458300 05 FL
02009 01 FL BLUE CROSS BLUE SHIELD
ME017622 01 FL FL LICENSE
institution
Provider Business Practice Location Address Details
Address
1594 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-4546
Phone Number
904-264-8621
Fax Number
904-215-9418
person
Provider Business Mailing Address Details
Address
1594 Kingsley Ave
City
Orange Park
State
Florida
Zip
32073-4546
Phone Number
904-264-8621
Fax Number
904-215-9418
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME017622 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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