Mindy Tillman, BCLDO, NCLEC, ABOC

NPI 1740197003 · on the registry since 2026

Practice

Address: 1800 Ne 12th Ave
Gainesville, FL 32641
Phone: (352) 372-3104
Fax: (352) 372-3345
Organisation at this address: Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Also registered as: 156FC0800X
156FC0801X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-08-24

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