person
Michael S Mcnulty, PA
Medical Physician Assistant in Land O Lakes, Florida
NPI 1811960099

Michael S Mcnulty is a Medical Physician Assistant based in Land O Lakes, FL and is specialized in Medical. Michael S Mcnulty practices in Land O Lakes, FL and has the professional credentials of PA. The NPI Number for Michael S Mcnulty is 1811960099 and holds a License No. MA0011803L (Florida).

The current practice location address for Michael S Mcnulty is 22928 Eagles Watch Dr, Land O Lakes, FL and can be reached out via phone at 813-929-0733 and via fax at 813-903-4812.

Location: 22928 Eagles Watch Dr, Land O Lakes, FL, 34639-4787
person
Provider Profile Details
NPI Number
1811960099
Provider Name
Michael S Mcnulty
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
22928 Eagles Watch Dr, Land O Lakes, FL, 34639-4787
Phone Number
813-929-0733
Fax Number
813-903-4812
Provider Enumeration Date
02/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA0011803L 01 PA LICENSE
institution
Provider Business Practice Location Address Details
Address
22928 Eagles Watch Dr
City
State
Zip
34639-4787
Phone Number
813-929-0733
Fax Number
813-903-4812
person
Provider Business Mailing Address Details
Address
22928 Eagles Watch Dr
City
State
Zip
34639-4787
Phone Number
813-929-0733
Fax Number
813-903-4812
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA0011803L (Pennsylvania)
Definition
Definition to come...
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