MICHAEL SHANE TULGETSKE

JACKSONVILLE, FL
NPI1841292273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  9107744)
Enumeration Date2005-08-15
Last Update Date2023-02-13
Business Address
Mr. MICHAEL SHANE TULGETSKE PA
5964 NORMANDY BLVD
JACKSONVILLE, FL 32205-6212
Phone number: 951-259-0912
Mailing Address
Mr. MICHAEL SHANE TULGETSKE PA
996 AUTUMN PINES DR
ORANGE PARK, FL 32065-2687
Phone number: 951-259-0912
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