| Cory Mullis, C-AA | |
|
2936 Lochcarron Dr, Land O Lakes, FL 34638-7865 | |
| (478) 230-7974 | |
| Not Available |
| Full Name | Cory Mullis |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 2936 Lochcarron Dr, Land O Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841749744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA367 (Florida) | Primary |
| Entity Name | Anesthesiologist Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306889910 PECOS PAC ID: 8921910027 Enrollment ID: O20031105000469 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Greater Florida Anesthesiologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528630795 PECOS PAC ID: 3173711017 Enrollment ID: O20101220000829 |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Mullis, C-AA 2936 Lochcarron Dr, Land O Lakes, FL 34638-7865 Ph: () - | Cory Mullis, C-AA 2936 Lochcarron Dr, Land O Lakes, FL 34638-7865 Ph: (478) 230-7974 |