Individual
QUANKELA TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10005 N DALE MABRY HWY STE 115, TAMPA, FL 33618-4409
(813) 284-8900
(813) 867-4600
Mailing address
2604 LINDELL AVE, TAMPA, FL 33610-7757
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11003758
FL
Other
Enumeration date
01/17/2020
Last updated
02/03/2026
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