Individual
MRS. TIFFANY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
5A SANCHEZ AVE, ST AUGUSTINE, FL 32084-3284
(904) 900-0900
(904) 506-2012
Mailing address
1140 HYACINTH ST, SAINT AUGUSTINE, FL 32092-2432
(512) 954-7937
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
428
FL
Other
Enumeration date
01/14/2022
Last updated
11/15/2024
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