Individual
TIFFANY AILEEN WHITMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14091 SE 95TH AVE, SUMMERFIELD, FL 34491-3690
(352) 304-1732
Mailing address
14091 SE 95TH AVE, SUMMERFIELD, FL 34491-3690
(352) 304-1732
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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