Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy H Tillo, DPM

Individual provider Podiatrist · NPI 1154385029

Timothy H Tillo, DPM is a Podiatrist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

12276 San Jose Blvd Ste 606
Jacksonville, FL 32223-8672
Phone: (904) 224-2001
Fax: (904) 260-1523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence PO1862 (FL)

Record details

NPI number1154385029
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESApril 19, 2013
Mailing address3117 Spring Glen Rd, Ste 402, Jacksonville, FL 32207-5906

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