DOMINIQUE TULL (NPI# 1457834038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457834038 |
| Entity Type | Individual |
| Full Name | DOMINIQUE TULL |
| Practice Address |
9100 Merrill Rd Ste 10 Jacksonville FL 32225-4349 |
| Practice Telephone | 9047259994 |
| Practice Fax Number | 9047259138 |
| Mailing Telephone | 9047259994 |
| Mailing Fax Number | 9047259138 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PT LICENSE | PT33721 | 01 |
| Street Address |
9100 MERRILL RD STE 10 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295519 | Ryan Vickers | Physical Therapist | 9100 Merrill Rd Ste 10, Jacksonville, FL 32225-4349 | 2017-06-21 |
| 1881218956 | Steven Jay Pruett | Physical Therapist | 9100 Merrill Rd Ste 10, Jacksonville, FL 32225-4349 | 2020-06-03 |
| 1952882821 | Andrea Bridges | Physical Therapist | 9100 Merrill Rd Ste 10, Jacksonville, FL 32225-4349 | 2018-08-28 |
| 1679081616 | Jennifer Lynn Elfrink | Physical Therapist | 9100 Merrill Rd Ste 10, Jacksonville, FL 32225-4349 | 2018-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619215761 | Theresa Anne Meyers | Physical Therapist | 11366 Emilys Crossing Ct, Jacksonville, FL 32257-1530 | 2013-01-24 |
| 1609901800 | Santiago Villamil | Physical Therapist | 10908 Mindanao Dr S, Jacksonville, FL 32246-9552 | 2007-02-21 |
| 1518038322 | Franklin Simpson Fisher | Physical Therapist | 2200 G Gum Branch Rd, Jacksonville, NC 28540-6009 | 2006-11-13 |
| 1063992030 | Kayla Sisson | Physical Therapist | 6639 Southpoint Pkwy Ste 103, Jacksonville, FL 32216-8042 | 2018-08-18 |
| 1558808816 | Sara B Sohn | Physical Therapist | 6639 Southpoint Pkwy Ste 103, Jacksonville, FL 32216-8042 | 2017-01-25 |
| 1225404270 | Jessica Zbikowski | Physical Therapist | 6500 Fort Caroline Rd, Suite C, Jacksonville, FL 32277-2084 | 2015-08-13 |
| 1255714960 | Marie Bogh | Physical Therapist | 3901 University Blvd S, Jacksonville, FL 32216-4312 | 2015-06-30 |
| 1972985075 | Justin Carmel | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2015-06-24 |
| 1275912792 | Brittany Ann Laxton | Physical Therapist | 9527 Regency Square Blvd, Unit 105, Jacksonville, FL 32225-8806 | 2015-05-29 |
| 1245617315 | Eliza Lynn Rivera | Physical Therapist | 4555 Emerson St, Suite # 220, Jacksonville, FL 32207-4966 | 2015-04-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
Please comment or provide details below to improve the information on DOMINIQUE TULL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.