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Olivia Bullock, DO
NPI 1114542859 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1310 County Road 210 W
Saint Johns, FL 32259 - Phone
- (904) 824-4407
- Fax
- (904) 390-7459
- Clinicians at this address
- 5
Additional practice sites
- 14540 Old Saint Augustine Rd Ste 2317, Jacksonville, FL
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida