# MICHAEL P. TESSLER MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356702021
- **Authorized official:** MICHAEL TESSLER MD (OWNER)
- **Authorized official phone:** (904) 829-2141

## Contact information

- **Practice address:** 232 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086-5137
- **Practice address phone:** (904) 829-2141
- **Practice address fax:** (904) 829-2141
- **Mailing address:** 232 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086-5137
- **Mailing address phone:** (904) 829-2141
- **Mailing address fax:** (904) 829-2141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME33096 | FL | Yes |

## Other

- **Enumeration date:** 03/09/2016
- **Last updated:** 03/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 015004000 | — | FL |