Individual
TANIKA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9555 SW162 AVE, KENDALL, FL 33196
(786) 540-4114
Mailing address
PO BOX 5332, FORT LAUDERDALE, FL 33310
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-409
SURGICAL TECH
FL
Enumeration date
09/01/2016
Last updated
10/05/2016
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