Tiffany Square Family Practice P A
Tiffany Square Family Practice P A is a Family Medicine Physician in Englewood, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
2828 S McCall Rd Ste 21Englewood, FL 34224
Phone: (941) 474-8154
Fax: (941) 473-3583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (FL) |
|---|
Record details
| NPI number | 1699729616 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Nimbargi — President · (941) 474-8154 |
| NPI enumerated | May 22, 2006 |
| Last updated in NPPES | May 15, 2008 |
| Mailing address | 2828 S McCall Rd, Ste 21, Englewood, FL 34224 |
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