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Contact Information

TONY TULLOT, MD
2001 KINGSLEY AVE
ORANGE PARK, FL32073-5148
 Phone: 904-276-8517
 Fax: 904-276-8611
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for TONY TULLOT · (Male)

NPI # 1336128230
Status Active
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 02/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0043280
  • FL License # ME43280
  • FL Medicaid 042304100
  • FL Other P00314800 RR MEDICARE
  • FL Other P220028013 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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