Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA MICHELLE BULLOCK, DO
Active Sole ProprietorOLIVIA MICHELLE BULLOCK, DO is a Family Medicine healthcare provider located in SAINT JOHNS, Florida. NPI 1114542859 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAINT JOHNS, FL
Registration Details
- NPI Number
- 1114542859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2020 (6.1664842279476 yrs)
- Last Updated
- Aug 15, 2023
- License
-
OS18963 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1310 COUNTY ROAD 210 WSAINT JOHNS, FL, 32259Browse FL providers · Browse ZIP 32259
- Phone
- 9048244407
- Fax
- 9043907459
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SAINT JOHNS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ANA MARIA ROMERO | M.D. | 1154383990 |
| DR. MATTHEW RYAN DEBOER | DO | 1104047893 |
| DR. COURTNEY B FAHNHORST VIDRINE | M.D. | 1245526466 |
| TRISTAN A IMHOF | MD | 1699123968 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.