| Doctor Name: | DR. DAVID ARNOLD TILLMAN |
| NPI Number: | 1235457482 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME77148 |
| Business Practice Address: | 1585 S Ocean Ln #280 Fort Lauderdale, FL - 333163335 |
| Business Phone Number: | 9549003903 |
| Business Fax Number: | |
| Mailing Address: | 1585 S Ocean Ln, #280 FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333163335 |
| Phone Number: | 9549003903 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2010 |
| NPI Last Update Date: | 05/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME77148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |