Individual
DR. MARK A TULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 264-2500
(352) 331-9095
Mailing address
4645 NW 8TH AVE, GAINESVILLE, FL 32605-4524
(352) 264-2500
(352) 331-9095
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME96062
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276127100
—
FL
01
—
53398
BLUE CROSS FL
FL
01
—
CM8550
MEDICARE RR
FL
Enumeration date
05/17/2006
Last updated
04/25/2013
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