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MRS. KELLY BULACLAC ARNP
NPI 1134588544
Nurse Practitioner - Family in Valrico, FL

Active since February 12, 2016
2946 HICKORY GROVE DR, VALRICO, FL 33596(813) 317-6005 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelly Bulaclac Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY BULACLAC ARNP (NPI 1134588544) is an individual family provider in Valrico, Florida, licensed in Florida (ARNP9212471) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1134588544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY BULACLACCredential: ARNP
Location Address2946 HICKORY GROVE DRValrico, FL 33596-7952
Mailing Address2946 Hickory Grove DrValrico, FL 33596-7952 · (813) 317-6005
Phone(813) 317-6005
Sole ProprietorNo
Enumeration DateFebruary 12, 2016
Last NPPES UpdateDecember 7, 2016
✔ NPI 1134588544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9212471
2946 HICKORY GROVE DR, Valrico, FL 33596
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bulaclac's NPI number?

The NPI number for Kelly Bulaclac is 1134588544. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Kelly Bulaclac located?

Kelly Bulaclac practices at 2946 Hickory Grove Dr, Valrico, FL 33596. The listed phone number is (813) 317-6005.

What is Kelly Bulaclac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Bulaclac was last updated on December 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.