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Individual

TIFFANY LEE BERKSHIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2344 NW 7TH ST, MIAMI, FL 33125-3249
(305) 945-7745
(305) 945-7740
Mailing address
14771 BISCAYNE BLVD, NORTH MIAMI, FL 33181-1217
(305) 945-7745
(305) 945-7740

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS7645
FL
208000000X
Pediatrics Physician
Primary
OS7645
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257318100
FL
Enumeration date
06/06/2006
Last updated
02/28/2013
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