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

Tiffany Jack, HIS

Individual provider Hearing Instrument Specialist · NPI 1114352630

Tiffany Jack, HIS is a Hearing Instrument Specialist in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

1130 Bichara Blvd
Lady Lake, FL 32159-7716
Phone: (352) 750-4327
Fax: (352) 750-2410
Show map & directions

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

Specialties & licences

Hearing Instrument Specialist (primary) Taxonomy 237700000X · Licence AS4900 (FL)

Record details

NPI number1114352630
Entity typeIndividual (Type 1)
GenderFemale
Credentials HIS
Sole proprietorNo
NPI enumeratedSeptember 4, 2013
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing address750 N Commons Dr Ste 200, Aurora, IL 60504-7940

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