Tulli, Mark A

Tulli, Mark A is an individual health care provider with primary practice located at 4645 Nw 8Th Ave , Gainesville FL 32605-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Tulli, Mark A can be contacted via phone (352) 264-2500.

Contact Information

Primary practice address
4645 Nw 8Th Ave Gainesville FL 32605-4524
Phone: (352) 264-2500
Fax: (352) 331-9095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME96062 Florida

Profile Details

NPI number 1265484257
LBN Legal business name Tulli, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265484257 NPPES
Florida MEDICAID 276127100
Florida Other 53398
Florida Other CM8550

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