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

Tiffany Dawn Halstead, PA

Individual provider Physician Assistant · NPI 1720279706

Tiffany Dawn Halstead, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2007, 19 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2780 Cleveland Ave #702
Fort Myers, FL 33901
Phone: (239) 343-2686
Fax: (239) 343-3144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6150 Medical Park Loop, Fort Myers, FL 33912-4537 — (239) 722-3600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104205 (FL)

Record details

NPI number1720279706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 6, 2007
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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