MEDICARE: TROPICAL FAMILY HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1467232900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TROPICAL FAMILY HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	375 S COURTENAY PKWY
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-4886
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 S COURTENAY PKWY
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-4886
Country	:	US
Telephone Number	:	321-544-0757
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHARI TILLMAN
Credential	:	APRN
Telephone Number	:	407-405-0823

Provider Enumeration Date	:	10/03/2023
Last Update Date	:	12/21/2024

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