Individual
TIMOTHY H TILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
12276 SAN JOSE BLVD, STE 606, JACKSONVILLE, FL 32223-8672
(904) 224-2001
(904) 260-1523
Mailing address
3117 SPRING GLEN RD, STE 402, JACKSONVILLE, FL 32207-5906
(904) 224-2001
(904) 224-2002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1862
FL
Other
Enumeration date
04/17/2006
Last updated
04/19/2013
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