Most Relevant Information
Provider Data
| NPI Number: | 1003564014 |
| Provider Name: | TANYA RITA JILKEVORKIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95020371 |
Most Important Dates
| Enumeration Date: | 03/17/2022 |
| Last Updated: | 09/06/2024 |
Provider Practice Location
365 WEKIVA SPRINGS RD STE 231
LONGWOOD
FL
327793690
Practice Location Phone/Fax
| Phone: | 6264337014 |
| Fax: |
Provider Mailing Location
365 WEKIVA SPRINGS RD STE 231
LONGWOOD
FL
327793690
Provider Mailing Phone/Fax
| Phone: | 6264337014 |
| Fax: |