Provider Demographics
NPI:1760169759
Name:INNERVISION PSYCHIATRY
Entity Type:Organization
Organization Name:INNERVISION PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-294-0938
Mailing Address - Street 1:27724 CASHFORD CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6963
Mailing Address - Country:US
Mailing Address - Phone:813-294-0938
Mailing Address - Fax:
Practice Address - Street 1:27724 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6963
Practice Address - Country:US
Practice Address - Phone:813-294-0938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty