Individual
ANITA TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 CABBAGE HAMMOCK RD, SAINT AUGUSTINE, FL 32092-0561
(904) 209-7043
Mailing address
2970 CABBAGE HAMMOCK RD, SAINT AUGUSTINE, FL 32092-0561
(904) 209-7043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
233893
FL
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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