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Individual

DR. DENNIS JOHN TISHKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3003 W DR MLK BLVD, TAMPA, FL 33607-6307
(727) 532-0002
Mailing address
661 E ALTAMONTE DR STE 324, ALTAMONTE SPRINGS, FL 32701-5103
(407) 845-8354
(954) 888-3808

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME117435
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011135100
FL
01
14V0A
FLORIDA BLUE
FL
Enumeration date
03/10/2006
Last updated
03/11/2026
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