Rullan, Alberto Antonio

Rullan, Alberto Antonio is an individual health care provider with primary practice located at 1740 Edgewood Ave W , Jacksonville FL 32208. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Rullan, Alberto Antonio can be contacted via phone (904) 224-2001.

Contact Information

Primary practice address
1740 Edgewood Ave W Jacksonville FL 32208
Phone: (904) 224-2001
Fax: (904) 224-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N004908-1 New York

Profile Details

NPI number 1275513541
LBN Legal business name Rullan, Alberto Antonio
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 3rd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275513541 NPPES
New York Other 1400062 GHI
New York Other PO-4908-1 GHI
New York MEDICAID 01497938 GHI
New York Other P52221 GHI

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