Mr Charles A Tulley Iii, MD | |
1101 S Eustis St, Eustis, FL 32726-5558 | |
(352) 589-4111 | |
(352) 589-4245 |
Full Name | Mr Charles A Tulley Iii |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1101 S Eustis St, Eustis, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215970819 | NPI | - | NPPES |
35187 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME36920 (Florida) | Primary |
Entity Name | Florida Hospital Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles A Tulley Iii, MD 1101 S Eustis St, Eustis, FL 32726-5558 Ph: (352) 589-4111 | Mr Charles A Tulley Iii, MD 1101 S Eustis St, Eustis, FL 32726-5558 Ph: (352) 589-4111 |
Paul Louis Tran, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2906 David Walker Dr, Eustis, FL 32726 Phone: 352-363-5921 | |
Donald T Eagle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Jennings Ave, Eustis, FL 32726 Phone: 352-357-5311 Fax: 352-357-0659 | |
Dr. Sharon Ann Nickell-olm, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Prevatt St, Eustis, FL 32726 Phone: 352-357-2600 Fax: 352-357-3400 | |
Roger C Roque, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 N Bay St Ste 8, Eustis, FL 32726 Phone: 352-357-1014 | |
Dr. Scott A Rodger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 S Bay St, Suite A, Eustis, FL 32726 Phone: 352-483-1466 Fax: 352-483-1134 | |
Dr. Lawrence Ezra Green, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 27 S Center St, Eustis, FL 32726 Phone: 352-589-6500 |