| Michael P. Tessler Md | |
|
232 Southpark Cir E Saint Augustine FL 32086-5137 | |
| (904) 829-2141 | |
| (904) 829-2141 |
| Full Name | Michael P. Tessler Md |
|---|---|
| Speciality | General Practice |
| Location | 232 Southpark Cir E, Saint Augustine, Florida |
| Authorized Official Name and Position | Michael Tessler (OWNER) |
| Authorized Official Contact | 9048292141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P. Tessler Md 232 Southpark Cir E Saint Augustine FL 32086-5137 Ph: (904) 829-2141 | Michael P. Tessler Md 232 Southpark Cir E Saint Augustine FL 32086-5137 Ph: (904) 829-2141 |
| NPI Number | 1356702021 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 03/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356702021 | NPI | - | NPPES |
| 015004000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME33096 (Florida) | Primary |
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