Bullock, Olivia Michelle

Bullock, Olivia Michelle is an sole proprietor health care provider with primary practice located at 1310 County Road 210 W , Saint Johns FL 32259. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bullock, Olivia Michelle can be contacted via phone (904) 824-4407.

Contact Information

Primary practice address
1310 County Road 210 W Saint Johns FL 32259
Phone: (904) 824-4407
Fax: (904) 390-7459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS18963 Florida

Profile Details

NPI number 1114542859
LBN Legal business name Bullock, Olivia Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2020
Last updated Aug 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers