Individual
PAM TIFFANY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-9516
(407) 343-7019
(407) 343-2069
Mailing address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-9516
(407) 343-7019
(407) 343-2069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN493992
FL
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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