Individual
TIFFANY TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30327 PONGO WAY, WESLEY CHAPEL, FL 33545
(813) 977-8700
(813) 971-2029
Mailing address
30327 PONGO WAY, WESLEY CHAPEL, FL 33545-1347
(813) 977-8700
(813) 971-2029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
08/04/2015
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