Individual
TIFFANY H GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 RIGSBY LN STE G, SAFETY HARBOR, FL 34695-4828
(727) 287-1250
(727) 287-1270
Mailing address
9960 NW 116TH WAY STE 13, MEDLEY, FL 33178-1175
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME147063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108062700
—
FL
Enumeration date
05/07/2015
Last updated
01/23/2025
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