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NPI Code Detail

MEDICARE: DR. SHERRIE LENISE BULLARD M.D.

MEDICARE:  DR. SHERRIE LENISE BULLARD  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianME75847FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043207293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERRIE LENISE BULLARD M.D.
Provider Business Mailing Address
First Line : PO BOX 848098
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33084-0098
Country : US
Telephone Number : 954-689-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 877-463-2010
Fax Number : 954-961-8876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 07/08/2007

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Directions to “ DR. SHERRIE LENISE BULLARD M.D.” Practice Location

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