Individual
MISS TIFFANY ANNE KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
160 NW 170TH ST, NORTH MIAMI BEACH, FL 33169-5576
(786) 466-2951
Mailing address
9922 NW 2ND CT, PLANTATION, FL 33324-7098
(954) 829-5505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
012444-1
NY
363AM0700X
Medical Physician Assistant
Primary
PA9105875
FL
Other
Enumeration date
03/04/2008
Last updated
01/16/2024
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