Organization
TRU-HORMONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TULLA MD (MD)
(904) 329-3868
Entity
Organization
Contact information
Practice address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(904) 329-3868
Mailing address
13820 OLD SAINT AUGUSTINE RD STE 101, JACKSONVILLE, FL 32258-5424
(904) 329-3868
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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