Jack, Tiffany

Jack, Tiffany is an individual health care provider with primary practice located at 1130 Bichara Blvd , Lady Lake FL 32159-7716. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Jack, Tiffany can be contacted via phone (352) 750-4327.

Contact Information

Primary practice address
1130 Bichara Blvd Lady Lake FL 32159-7716
Fax: (352) 750-2410
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AS4900 Florida

Profile Details

NPI number 1114352630
LBN Legal business name Jack, Tiffany
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated May 13th, 2021 - about 4 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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