Individual provider · Type 1 NPI

Olivia Michelle Bullock, DO

Family Medicine Physician · St. Johns, FL

NPI number 1114542859 Active

Practice location

1310 County Road 210 W
St. Johns, FL 32259

Call (904) 824-4407 Map

Fax (904) 390-7459

Mailing address

PO Box 746638
Atlanta, GA 30374-6638

Other practice locations

  • 14540 Old Saint Augustine Rd Ste 2317, Jacksonville, FL 32258-7418 · (904) 824-4407

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XOS18963 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1114542859

Olivia Michelle Bullock, DO's National Provider Identifier is 1114542859, issued on Jun 9, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Johns, FL. The record was last updated on Aug 15, 2023.