Healthcare Provider Details

I. General information

NPI: 1063659951
Provider Name (Legal Business Name): JAMES TU D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 05/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 38TH AVE N
ST PETERSBURG FL
33710
US

IV. Provider business mailing address

2051 CUSHING RD
SAN DIEGO CA
92106-6173
US

V. Phone/Fax

Practice location:
  • Phone: 727-341-4819
  • Fax: 727-341-4865
Mailing address:
  • Phone: 619-524-0173
  • Fax: 619-524-0086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberUO1782
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A11304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: