Provider Demographics
NPI:1497916027
Name:TULLIUS, BRIAN P (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:P
Last Name:TULLIUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2501 N ORANGE AVE STE 589
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4647
Mailing Address - Country:US
Mailing Address - Phone:407-303-1300
Mailing Address - Fax:407-303-1301
Practice Address - Street 1:2501 N ORANGE AVE STE 589
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4647
Practice Address - Country:US
Practice Address - Phone:407-303-1300
Practice Address - Fax:407-303-1301
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1500432080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology