Individual
TIFFANY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S. ASHLEY DRIVE, SUITE 600, TAMPA, FL 33602-3360
(904) 504-9669
Mailing address
3461 SW 2ND AVE APT 445, GAINESVILLE, FL 32607-2835
(352) 672-3734
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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