Timothy H Tillo, D.P.M.

NPI #1154385029 in Jacksonville, Florida

Provider Information

NPI Number: 1154385029
Entity Type: Individual
Name: Timothy H Tillo, D.P.M.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Apr 17, 2006
Last Updated: Apr 19, 2013

Practice Location

Address: 12276 SAN JOSE BLVD
Address 2: STE 606
City: Jacksonville
State: Florida
ZIP Code: 32223-8672
Phone: (904) 224-2001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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