institution
Ralph J. Tullo, Md, Pa
Mammography Clinic/Center in Maitland, Florida
NPI 1134126667

Ralph J. Tullo, Md, Pa is a Mammography Clinic/Center based in Maitland, FL and is specialized in Radiology, Mammography. Ralph J. Tullo, Md, Pa practices in Maitland, FL. The NPI Number for Ralph J. Tullo, Md, Pa is 1134126667 and holds a License No. (Florida).

The current practice location address for Ralph J. Tullo, Md, Pa is 300 N Lake Destiny Rd, Maitland, FL and can be reached out via phone at 407-699-6266 and via fax at 407-699-6266.

Location: 300 N Lake Destiny Rd, Maitland, FL, 32751-4103
institution
Provider Profile Details
NPI Number
1134126667
Provider Name
Ralph J. Tullo, Md, Pa
Credential
Provider Entity Type
Organization
Address
300 N Lake Destiny Rd, Maitland, FL, 32751-4103
Phone Number
407-699-6266
Fax Number
407-699-6266
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236228 01 FL ACR FACILITY ID NUMBER
5603 01 FL MAITLAND OCCUPATIONAL LIC
institution
Provider Business Practice Location Address Details
Address
300 N Lake Destiny Rd
City
State
Zip
32751-4103
Phone Number
407-699-6266
Fax Number
407-699-6266
person
Provider Business Mailing Address Details
Address
300 N Lake Destiny Rd
City
State
Zip
32751-4103
Phone Number
407-699-6266
Fax Number
407-699-6266
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
License No.
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Definition
Definition to come...
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