Individual
ALLISON ANN TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 LAWTON RD STE 100, ORLANDO, FL 32803-3519
(407) 894-3241
(407) 896-9863
Mailing address
3113 LAWTON RD STE 100, ORLANDO, FL 32803-3519
(407) 894-3241
(407) 896-9863
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11008890
FL
363LF0000X
Family Nurse Practitioner
APRN11008890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124782500
—
FL
Enumeration date
09/08/2020
Last updated
12/16/2024
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