Michael S. Mcnulty PA
Medical Physician Assistant in Land O Lakes, FL(View on Map)
Full Name
Michael S Mcnulty PA
NPI Number
1811960099
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/09/2006
Specialties
(Taxonomies)Licenses
State
Pennsylvania
License Number
MA0011803L
Contact
Information
Purpose
Mailing
Location
Address
22928 EAGLES WATCH DR
22928 EAGLES WATCH DR
City
Land O Lakes
Land O Lakes
State
FL
FL
Postal Code
34639-4787
34639-4787
Country
US
US
Telephone Number
(813) 929-0733
(813) 929-0733
Identifiers
Identifier
MA0011803L
Identifier State
PA
Identifier Issuer
LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/24/2016
Provider Address
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