Individual
TIFFANY L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, CCMA
Contact information
Practice address
2065 N HIGHLAND AVE APT 133F, CLEARWATER, FL 33755-1326
(727) 288-5454
Mailing address
2065 N HIGHLAND AVE APT 133F, CLEARWATER, FL 33755-1326
(727) 288-5454
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
237463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279858
CNA
FL
Enumeration date
04/08/2021
Last updated
04/08/2021
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