Individual provider · Type 1 NPI

Brian Pulayya

Medical Physician Assistant · Jacksonville, FL

NPI number 1780126839 Active

Practice location

3 Shircliff Way Ste 400
Jacksonville, FL 32204-4780

Call (904) 381-9393 Map

Fax (904) 381-9314

Mailing address

4958 Key Lime Dr Unit 105
Jacksonville, FL 32256-3253

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9109984 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1780126839

Brian Pulayya's National Provider Identifier is 1780126839, issued on Nov 7, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 3, 2021.