Individual
PAVEL TULISOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
(954) 785-8285
Mailing address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH26635
FL
Other
Enumeration date
08/27/2019
Last updated
11/28/2025
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