Individual
TIFFANI MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(888) 663-3488
Mailing address
12902 USF MAGNOLIA DR FL 33612, TAMPA, FL 33612-9416
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12213175-1205
UT
Other
Enumeration date
03/25/2017
Last updated
10/09/2022
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