Timothy H Tillo in Jacksonville - Podiatrist
Timothy H Tillo - NPI 1154385029
Timothy H Tillo is a Podiatrist in Jacksonville, Florida. Timothy H Tillo practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Timothy H Tillo is 1154385029. The last update date is 2013-04-19.
Timothy H Tillo's current location address is 3117 Spring Glen Rd, Jacksonville, Florida. You can contact this provider via phone number 9042242001 and fax number 9042242002. The mailing address for Timothy H Tillo is 3117 Spring Glen Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy H Tillo |
|---|---|
| Address | 3117 Spring Glen Rd, Jacksonville, Florida |
| Phone Number | 9042242001 |
| Fax Number | 9042242002 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1154385029 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2013-04-19 |
Provider Mailing Address Detail
| Address | 3117 Spring Glen Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322075906 |
| Phone Number | 9042242001 |
| Fax Number | 9042242002 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | PO1862 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identifier code issued to Timothy H Tillo by the Centers for Medicare & Medicaid Services?
The Timothy H Tillo has been assigned the NPI (National Provider Identifier) 1154385029 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Timothy H Tillo located?
The Timothy H Tillo is located at 3117 Spring Glen Rd, Jacksonville, FL 322075906.
What is the Timothy H Tillo's specialty and taxonomy code?
The Timothy H Tillo's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154385029 to Timothy H Tillo?
The Centers for Medicare & Medicaid Services originally issued the 1154385029 to Timothy H Tillo on 2006-04-17.
When was the Timothy H Tillo's information last updated?
The Timothy H Tillo's information was last updated on 2013-04-19.