IndividualActive
Jeanette Tuller, MMS, PA-C
NPI 1255880696 · Surgical Physician Assistant · Fort Lauderdale, FL
Provider details
- NPI number
- 1255880696
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MMS, PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9109893 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420
Phone: (954) 792-1010
Fax: (954) 792-1199
Street-level locationGet directions
Mailing address
4948 Nw 49th Ct
Coconut Creek, FL 33073-4908
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2024-04-26
- Certified
- 2024-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.