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Organization
TIFFANY SQUARE FAMILY PRACTICE P A
Active
Organization
TIFFANY SQUARE FAMILY PRACTICE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PHILIP NIMBARGI MD (PRESIDENT)
(941) 474-8154
Entity
Organization
Contact information
Practice address
2828 S MCCALL RD, STE 21, ENGLEWOOD, FL 34224
(941) 474-8154
(941) 473-3583
Mailing address
2828 S MCCALL RD, STE 21, ENGLEWOOD, FL 34224
(941) 474-8154
(941) 473-3583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Enumeration date
05/22/2006
Last updated
05/15/2008
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