Provider Demographics
NPI:1356238737
Name:BULONE, PHILIP JR
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:BULONE
Suffix:JR
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 S OCEAN BLVD APT 405
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-7907
Mailing Address - Country:US
Mailing Address - Phone:813-601-1688
Mailing Address - Fax:
Practice Address - Street 1:1850 S OCEAN BLVD APT 405
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7907
Practice Address - Country:US
Practice Address - Phone:813-601-1688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health