Individual
TIFFANY SAMANTHA CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2801 NW 79TH AVE, DORAL, FL 33122-1174
(786) 466-1000
Mailing address
2801 NW 79TH AVE, DORAL, FL 33122-1174
(786) 466-1000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11012901
FL
Other
Enumeration date
10/21/2021
Last updated
11/19/2021
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