Individual
ADAM MCQUILLAN TULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 PINELLAS ST, SUITE 320, CLEARWATER, FL 33756-3354
(727) 446-2273
(727) 441-4966
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 532-1352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10681
NC
363AS0400X
Surgical Physician Assistant
PAT9107725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010971500
—
FL
Enumeration date
04/01/2014
Last updated
01/10/2022
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