Tull, Dominique

Tull, Dominique is an sole proprietor health care provider with primary practice located at 9100 Merrill Rd Ste 10 , Jacksonville FL 32225-4349. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Tull, Dominique can be contacted via phone (904) 725-9994.

Contact Information

Primary practice address
9100 Merrill Rd Ste 10 Jacksonville FL 32225-4349
Phone: (904) 725-9994
Fax: (904) 725-9138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1457834038
LBN Legal business name Tull, Dominique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2018
Last updated Sep 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457834038 NPPES
Florida Other PT33721 PT LICENSE

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