Individual
TIFFANY LASHAY WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
888 CARMILLION CT, GROVELAND, FL 34736-3680
(407) 276-4357
Mailing address
888 CARMILLION CT, GROVELAND, FL 34736-3680
(407) 276-4357
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
261QD1600X
FL
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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