Individual provider · Type 1 NPI

Jeanette Tuller, MMS, PA-C

Surgical Physician Assistant · Fort Lauderdale, FL

NPI number 1255880696 Active

Practice location

2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420

Call (954) 792-1010 Map

Fax (954) 792-1199

Mailing address

4948 NW 49th Ct
Coconut Creek, FL 33073-4908

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X9109893 (FL)
Surgical Physician Assistant Primary 363AS0400X9109893 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1255880696

Jeanette Tuller, MMS, PA-C's National Provider Identifier is 1255880696, issued on Sep 27, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Apr 26, 2024.