Individual
JILL TORNYOS PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6297
(727) 893-6287
Mailing address
601 7TH ST S STE 205, ST PETERSBURG, FL 33701-4748
(727) 893-6234
(727) 553-7798
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PA9101193
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9101193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010583900
—
FL
Enumeration date
03/29/2007
Last updated
06/27/2024
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