Jennifer Darlene Tiller
Pediatrician Emergency Physician
2727 W Dr Martin Luther King Jr Blvd Suite 300
Tampa
, Florida 33607-6383
Jennifer Darlene Tiller
Pediatrician Emergency Physician
2727 W Dr Martin Luther King Jr Blvd Suite 300
Tampa
, Florida 33607-6383
(813) 874-5707
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About
Features
Specialties
- Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Jennifer Darlene Tiller
- 2727 W Dr Martin Luther King Jr Blvd Suite 300
- Tampa, FL
- Zip : 33607-6383
- Phone : (813) 874-5707
Second Address
- Jennifer Darlene Tiller
- 2727 W Dr Martin Luther King Jr Blvd Suite 300
- Tampa, FL
- Zip : 33607-6383
- Phone : (813) 874-5707
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What type of doctor is Jennifer Darlene Tiller
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Is Jennifer Darlene Tiller a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | ME72999 | FL |
| N | 208000000X | Pediatrician | G89241 | CA |
National Provider Identifier
| NPI | 1003855875 |
|---|---|
| Provider Name | Jennifer Darlene Tiller |
| First Address | Tampa, FL 33607-6383 |
| Second Address | Tampa, FL 33607-6383 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 25/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 253688900 | (05) | FL |
| 42868 | BLUE CROSS OF FLORIDA (01) | FL |
| G64775 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.