| Doctor Name: | MRS. ELLEN G TINDAL |
| NPI Number: | 1003120700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9269375 |
| Business Practice Address: | 83 W Columbia St Orlando, FL - 328061101 |
| Business Phone Number: | 3218413338 |
| Business Fax Number: | 3218412170 |
| Mailing Address: | 83 W Columbia St, ORLANDO |
| State: | FL |
| Postal Code: | 328061101 |
| Phone Number: | 3218413338 |
| Fax Number: | 3218412170 |
| NPI Enumeration Date: | 08/05/2010 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP9269375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |