Provider Demographics
NPI:1891946331
Name:WILLIAM C HULLEY DO PA
Entity Type:Organization
Organization Name:WILLIAM C HULLEY DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:HULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-446-8226
Mailing Address - Street 1:600 LAKEVIEW RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3355
Mailing Address - Country:US
Mailing Address - Phone:727-446-8226
Mailing Address - Fax:727-446-8216
Practice Address - Street 1:600 LAKEVIEW RD
Practice Address - Street 2:SUITE C
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3355
Practice Address - Country:US
Practice Address - Phone:727-446-8226
Practice Address - Fax:727-446-8216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS36642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty