Individual
JAMES JOSEPH TILLS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 SLIGH BLVD, ORLANDO, FL 32806-3954
(305) 899-3100
Mailing address
877 E 20TH ST, SANFORD, FL 32771-3509
(772) 341-9462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11026292
FL
Other
Enumeration date
04/06/2021
Last updated
05/31/2023
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