Olivia Michelle Bullock, DO
NPI #1114542859 in Saint Johns, Florida
Provider Information
- NPI Number
- 1114542859
- Entity Type
- Individual
- Name
- Olivia Michelle Bullock, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Jun 9, 2020
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 1310 COUNTY ROAD 210 W
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259
- Phone
- (904) 824-4407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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Individual Providers
| Provider Name | |
|---|---|
| DR. Matthew Ryan Deboer, DO | |
| DR. Ana Maria Romero, M.D. | |
| DR. Courtney B Fahnhorst Vidrine, M.D. | |
| Tristan A Imhof, MD |
Organizations
| Provider Name | |
|---|---|
| Duncan Health Direct, P.a. |
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