Florida Medicaid lookup
One provider matched this Medicaid ID.
Florida Medicaid ID 042304100 resolves to a single NPI record. Open the full profile for complete detail.
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TT
NPI · 1336128230 · Active
Tony Tullot MD
Anatomic & Clinical Pathology · Orange Park, Florida
NPI
1336128230
Medicaid (FL)
042304100
Taxonomy
207ZP0102X
State
Florida
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- P220028013FL· Issued by RR MEDICARE
- P00314800FL· Issued by RR MEDICARE
Medicaid
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.