MEDICARE: PULSE MEDICAL DOCTORS LLC

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
1	207R00000X	Internal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1033649868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULSE MEDICAL DOCTORS LLC

Provider Business Mailing Address
First Line	:	871 COUNTY ROAD 466
Second Line	:	SUITE 200
City	:	LADY LAKE
State	:	FL
Zip	:	32159-4205
Country	:	US
Telephone Number	:	352-350-5130
Fax Number	:	352-350-1684

Provider Business Practice Location Address
First Line	:	871 COUNTY ROAD 466
Second Line	:	SUITE 200
City	:	LADY LAKE
State	:	FL
Zip	:	32159-4205
Country	:	US
Telephone Number	:	352-350-5130
Fax Number	:	352-350-1684

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	CLARISSA ABRANTES
Credential	:	MD
Telephone Number	:	352-350-5130

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	02/24/2023

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Directions to “PULSE MEDICAL DOCTORS LLC ” Practice Location

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