Dangleben, Tiffany

Dangleben, Tiffany is an individual health care provider with primary practice located at 13101 Bruce B Downs Blvd , Tampa FL 33612-3803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Dangleben, Tiffany can be contacted via phone (813) 821-8038.

Contact Information

Primary practice address
13101 Bruce B Downs Blvd Tampa FL 33612-3803
Phone: (813) 821-8038
Fax: (813) 974-0483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida

Profile Details

NPI number 1194582205
LBN Legal business name Dangleben, Tiffany
Credentials EI
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2024
Last updated Jun 18th, 2024 - about 2 years ago

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 1194582205 NPPES
Florida MEDICAID 121688000

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