Provider Demographics
NPI:1982659108
Name:HULLS, JAMES R (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:HULLS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6401 JOSEPHINE ARBOR PLACE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617
Mailing Address - Country:US
Mailing Address - Phone:813-468-1611
Mailing Address - Fax:813-972-5753
Practice Address - Street 1:6401 JOSEPHINE ARBOR PLACE
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617
Practice Address - Country:US
Practice Address - Phone:813-468-1611
Practice Address - Fax:727-587-7602
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2022-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME22381207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL78081OtherBCBS OF FLORIDA
FL043091900Medicaid
FL78081ZMedicare PIN
D65798Medicare UPIN
FL78081XMedicare PIN