MEDICARE: DR. JESSICA ELIZABETH TUNIS D.O.

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	208600000X	Surgery Physician	OS15443	FL
2	208600000X	Surgery Physician	OS15443	FL
3	208600000X	Surgery Physician	2585	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821208778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA ELIZABETH TUNIS D.O.

Provider Business Mailing Address
First Line	:	8865 COMMODITY CIR STE 14-103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9056
Country	:	US
Telephone Number	:	407-504-2859
Fax Number	:

Provider Business Practice Location Address
First Line	:	8865 COMMODITY CIR STE 14-103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-9056
Country	:	US
Telephone Number	:	407-734-1921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	04/02/2026

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