Female

Dr. Tatjana Bulat M.D.

Full Name

Dr. Tatjana Bulat M.D.

NPI Number

1063459436

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/02/2006

Specialties

(Taxonomies)

Code

207RG0300X
207R00000X

Primary Taxonomy

No
No

Licenses

State

Florida

License Number

ME79317

Contact
Information

Purpose

Mailing
Location

Address

15817 DAWSON RIDGE DR
11605 N NEBRASKA AVE

City

Tampa
Tampa

State

FL
FL

Postal Code

33647-1322
33612-5738

Country

US
US

Telephone Number

(813) 558-3923
(813) 558-3923

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address