Individual
TIFFANY MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6591 SE 11TH LOOP, OCALA, FL 34472-7810
(352) 318-3789
Mailing address
6591 SE 11TH LOOP, OCALA, FL 34472-7810
(352) 318-3789
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9292989
FL
163WP0200X
Pediatric Registered Nurse
Primary
RN9292989
FL
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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