Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Shane Tulgetske, PA

Individual provider Physician Assistant · NPI 1841292273

Mr. Michael Shane Tulgetske, PA is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5964 Normandy Blvd
Jacksonville, FL 32205-6212
Phone: (951) 259-0912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9107744 (FL)

Record details

NPI number1841292273
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 15, 2005
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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