Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiany Vasallo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205672284

Tiany Vasallo is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

950 NW 20th St
Miami, FL 33127-4622
Phone: (305) 237-4141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9119171 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205672284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address950 Nw 20th St, Miami, FL 33127-4622

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