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NPI Code Detail

MEDICARE: DR. AURELIO ANTONIO BULA D.M.D.

MEDICARE: DR. AURELIO ANTONIO BULA D.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
11223P0221XPediatric DentistryDN21763FL

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 : 1023304391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AURELIO ANTONIO BULA D.M.D.
Provider Business Mailing Address
First Line : 5850 CORAL RIDGE DR STE 101B
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3379
Country : US
Telephone Number : 954-323-8788
Fax Number : 954-688-3414
Provider Business Practice Location Address
First Line : 5850 CORAL RIDGE DR STE 101B
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-3379
Country : US
Telephone Number : 954-323-8788
Fax Number : 954-323-8788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2011
Last Update Date : 01/24/2025

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