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Organization
TIFFANY MONAHAN, O.D. LLC
Active
Organization
TIFFANY MONAHAN, O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY KAY MONAHAN O.D. (PRESIDENT)
(352) 371-0994
Entity
Organization
Contact information
Practice address
3564 SW ARCHER RD, GAINESVILLE, FL 32608-2438
(352) 371-0994
Mailing address
3533 SW 87TH DR, GAINESVILLE, FL 32608-7951
(352) 359-1803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68151
BCBS
FL
Enumeration date
10/19/2006
Last updated
08/22/2020
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