SearchFlorida235Z00000X

Mallory Tillis, SLP

NPI 1124519145 · on the registry since 2018

Practice

Address
6820 Southpoint Pkwy Ste 9
Jacksonville, FL 32216
Phone
(039) 888-8754
Organisation at this address
The Medimix, Llc
Mt Medical Florida, Llc
Vocational Development Group, Llc
Total Patient Care Home Health, Llc
Vascular Access Center Of Jacksonville Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
175

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
FL, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida