Provider Demographics
NPI:1881325504
Name:BENITAH BULBARELLI, ELLEN MARIA N/A (MD)
Entity type:Individual
Prefix:DR
First Name:ELLEN MARIA
Middle Name:N/A
Last Name:BENITAH BULBARELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:150 CLEARWATER LARGO RD N STE 2
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2388
Mailing Address - Country:US
Mailing Address - Phone:727-518-0822
Mailing Address - Fax:727-518-6511
Practice Address - Street 1:150 CLEARWATER LARGO RD N STE 2
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2388
Practice Address - Country:US
Practice Address - Phone:727-518-0822
Practice Address - Fax:727-518-6511
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2025-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT225721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine