Organization
MICHAEL P. TESSLER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TESSLER MD (OWNER)
(904) 829-2141
Entity
Organization
Contact information
Practice address
232 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086-5137
(904) 829-2141
(904) 829-2141
Mailing address
232 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 32086-5137
(904) 829-2141
(904) 829-2141
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME33096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015004000
—
FL
Enumeration date
03/09/2016
Last updated
03/09/2016
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