Individual
TIFFANY LEE KRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4100 S FERDON BLVD STE C2, CRESTVIEW, FL 32536-5287
(850) 683-3937
(850) 683-0227
Mailing address
4100 S FERDON BLVD STE C2, CRESTVIEW, FL 32536-5287
(850) 683-3937
(850) 683-0227
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
OS10815
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
OS10815
FL
Other
Enumeration date
08/13/2008
Last updated
04/20/2020
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