Tullot, Tony

Tullot, Tony is an individual health care provider with primary practice located at 2001 Kingsley Ave , Orange Park FL 32073-5148. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Tullot, Tony can be contacted via phone (904) 276-8517.

Contact Information

Primary practice address
2001 Kingsley Ave Orange Park FL 32073-5148
Phone: (904) 276-8517
Fax: (904) 276-8611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X ME43280 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME0043280 Florida

Profile Details

NPI number 1336128230
LBN Legal business name Tullot, Tony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Feb 22nd, 2010 - about 15 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 1336128230 NPPES
Florida Other P220028013 RR MEDICARE
Florida MEDICAID 042304100 RR MEDICARE
Florida Other P00314800 RR MEDICARE

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