Individual
TIFFANY RENEE COMERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1503
(954) 263-7262
Mailing address
6122 GRAND CYPRESS CIR E, COCONUT CREEK, FL 33073-2343
(954) 263-7262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108164
FL
Other
Enumeration date
09/03/2014
Last updated
09/18/2014
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