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1780126839
BRIAN PULAYYA
JACKSONVILLE, FL
NPI
1780126839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9109984)
Enumeration Date
2016-11-07
Last Update Date
2021-02-03
Business Address
BRIAN PULAYYA
3 SHIRCLIFF WAY STE 400
JACKSONVILLE, FL 32204-4780
Phone number: 904-381-9393
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Mailing Address
BRIAN PULAYYA
4958 KEY LIME DR UNIT 105
JACKSONVILLE, FL 32256-3253
Phone number: 321-946-8441
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