| Dr Tony Tullot, MD | |
|
2001 Kingsley Ave, Orange Park, FL 32073-5148 | |
| (904) 276-8517 | |
| (904) 276-8611 |
| Full Name | Dr Tony Tullot |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 2001 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336128230 | NPI | - | NPPES |
| P220028013 | Other | FL | RR MEDICARE |
| 042304100 | Medicaid | FL | |
| P00314800 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | ME43280 (Florida) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME0043280 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tony Tullot, MD 7111 Fairway Dr, Suite 400, Palm Beach Gardens, FL 33418-4204 Ph: (561) 712-6265 | Dr Tony Tullot, MD 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 276-8517 |
Karen V Toronczyk, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Pathology Dept, Orange Park, FL 32073 Phone: 904-276-8517 Fax: 904-276-8611 | |
Dr. Silvia Depaz, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-276-8517 Fax: 904-276-8611 |