Provider Demographics
NPI:1033649868
Name:PULSE MEDICAL DOCTORS LLC
Entity Type:Organization
Organization Name:PULSE MEDICAL DOCTORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRANTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-350-5130
Mailing Address - Street 1:871 COUNTY ROAD 466
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-4205
Mailing Address - Country:US
Mailing Address - Phone:352-350-5130
Mailing Address - Fax:352-350-1684
Practice Address - Street 1:871 COUNTY ROAD 466
Practice Address - Street 2:SUITE 200
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-4205
Practice Address - Country:US
Practice Address - Phone:352-350-5130
Practice Address - Fax:352-350-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty