Individual
DAVE TSHIUPULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11326 MADELYNN DR, JACKSONVILLE, FL 32256-5873
(706) 905-2497
Mailing address
11326 MADELYNN DR, JACKSONVILLE, FL 32256-5873
(706) 905-2497
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
APRN11044664
FL
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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