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RALPH J. TULLO MD PA NPI 1134126667


NPI Information

NPI: 1134126667
Provider Name: RALPH J. TULLO, MD, PA

Former Legal Business Name: BREAST HEALTH INSTITUTE OF ORLANDO

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
300 N LAKE DESTINY RD
MAITLAND, FL
ZIP 32751
Phone: (407) 699-6266
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RALPH J. TULLO, MD, PA is a radiology and mammography clinic center in Maitland, FL. RALPH J. TULLO, MD, PA NPI is 1134126667. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Breast Health Institute Of Orlando.

The provider's business location address is:

300 N LAKE DESTINY RD
MAITLAND, FL
ZIP 32751-103
Phone: (407) 699-6266
Fax: (407) 699-6266

The provider's authorized official is Alicia Tullo .
The authorized official title is Administrator/billing Coordinator and has the following contact phone number (407) 699-6266.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 3/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0206XClinic/CenterRadiology, MammographyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K9237MEDICARE PINFLORIDA
25603OTHERFLORIDAMAITLAND OCCUPATIONAL LIC
3236228OTHERFLORIDAACR FACILITY ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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