Individual
JILL TOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 FERN DR, LEESBURG, FL 34748-7008
(352) 218-8200
(352) 435-0690
Mailing address
9301 SUMMIT CENTRE WAY UNIT 3212, ORLANDO, FL 32810-6329
(973) 615-4974
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME153272
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112324100
—
FL
Enumeration date
04/20/2007
Last updated
05/17/2022
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