Healthcare Provider Details

I. General information

NPI: 1720084254
Provider Name (Legal Business Name): HAROLD L KULMAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 S OSPREY AVE SUITE 201
SARASOTA FL
34239-2905
US

IV. Provider business mailing address

1435 S OSPREY AVE SUITE 201
SARASOTA FL
34239-2905
US

V. Phone/Fax

Practice location:
  • Phone: 941-953-5917
  • Fax: 941-312-4804
Mailing address:
  • Phone: 941-953-5917
  • Fax: 941-312-4804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0023154
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: