| Doctor Name: | DR. STEVEN L MULLIS |
| NPI Number: | 1912968512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME0088963 |
| Business Practice Address: | 114 Airport Rd Panama City, FL - 324054605 |
| Business Phone Number: | 8507850788 |
| Business Fax Number: | 8507851066 |
| Mailing Address: | Po Box 1969, PANAMA CITY |
| State: | FL |
| Postal Code: | 324021969 |
| Phone Number: | 8507850788 |
| Fax Number: | 8507851066 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 02/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0088963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |