SearchFlorida225100000X

Corey Tulley

NPI 1023614310 · on the registry since 2020 · sole proprietor

Practice

Address
1655 Se Walton Rd
Port Saint Lucie, FL 34952
Phone
(772) 337-1333
Organisation at this address
Port St. Lucie Mgt Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 140 Prescott St, North Andover, MA

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
FL, MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida