Individual
KENDAL TIFFANY GALURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 WHITEHALL DR STE 108, ST AUGUSTINE, FL 32086-5268
(904) 615-1794
(904) 341-5552
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11036060
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11036060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902663735
GROUP PRACTICE NPI
FL
Enumeration date
10/21/2024
Last updated
08/08/2025
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