Individual
JILLIAN RAE FOERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-0000
Mailing address
10213 COOL WATERLILY AVE, RIVERVIEW, FL 33578-4380
(631) 487-5414
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9522965
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
11037463
FL
363L00000X
Nurse Practitioner
Primary
11037463
FL
Other
Enumeration date
12/02/2024
Last updated
02/19/2025
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