Individual
TIFFANY STEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-3455
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-3455
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11033761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123553900
—
FL
01
—
TJ021
MEDICARE HF
FL
Enumeration date
06/28/2024
Last updated
07/18/2025
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