Individual
TIFFANY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 CALHOUN AVE, SEFFNER, FL 33584-3617
(813) 473-9510
(813) 435-3246
Mailing address
PO BOX 1771, SEFFNER, FL 33583-1771
(813) 473-9510
(813) 435-3246
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
23494
FL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-5660279
—
FL
Enumeration date
12/05/2017
Last updated
03/07/2018
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