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Brent Justin Tilseth, MD
Diagnostic Radiology Physician in Jacksonville, Florida
NPI 1770905085

Brent Justin Tilseth is a Diagnostic Radiology Physician based in Fleming Island, FL and is specialized in Diagnostic Radiology. Brent Justin Tilseth practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Brent Justin Tilseth is 1770905085 and holds a License No. ME142293 (Florida).

The current practice location address for Brent Justin Tilseth is 2080 Child St, Jacksonville, FL and can be reached out via phone at 904-542-7300.

Location: 2080 Child St, Jacksonville, FL, 32003-8231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770905085
Provider Name
Brent Justin Tilseth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2080 Child St, Jacksonville, FL, 32003-8231
Phone Number
904-542-7300
Fax Number
Provider Enumeration Date
01/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O9423 01 FL MEDICARE PTAN OHRI
XAEAA 01 FL BCBS
PS650 01 FL MEDICARE PTAN OHMG
112609100 05 FL
institution
Provider Business Practice Location Address Details
Address
2080 Child St
City
Jacksonville
State
Florida
Zip
32214-5005
Phone Number
904-542-7300
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St
City
Jacksonville
State
Florida
Zip
32214-5005
Phone Number
904-542-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME142293 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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