Individual
MS. DEBORAH TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3300 NW 27TH AVE, MIAMI, FL 33142-5881
(305) 637-4500
Mailing address
780 SW 9TH ST, FLORIDA CITY, FL 33034-5639
(407) 489-4815
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 3088252
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP 3088252
FL
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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