Ally, Tiffany Lauren

Ally, Tiffany Lauren is an sole proprietor health care provider with primary practice located at 2044 Broken Arrow Trl N , Lakeland FL 33813-3704. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Agencies / Foster Care Agency, Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ally, Tiffany Lauren can be contacted via phone (863) 640-8791.

Contact Information

Primary practice address
2044 Broken Arrow Trl N Lakeland FL 33813-3704
Phone: (863) 640-8791
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Agencies / Foster Care Agency 253J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Behavioral Health & Social Service Providers / Social Worker 104100000X 17546 Florida

Profile Details

NPI number 1487127791
LBN Legal business name Ally, Tiffany Lauren
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2019
Last updated Jul 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487127791 NPPES
Florida MEDICAID 010816500

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