Luque, Tiffany Marie

Luque, Tiffany Marie is an sole proprietor health care provider with primary practice located at 1483 Sw Bougainvillea Ave , Port Saint Lucie FL 34953-7302. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Luque, Tiffany Marie can be contacted via phone (772) 336-6928.

Contact Information

Primary practice address
1483 Sw Bougainvillea Ave Port Saint Lucie FL 34953-7302
Fax: (772) 336-6929
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9773 Florida

Profile Details

NPI number 1215114483
LBN Legal business name Luque, Tiffany Marie
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2008
Last updated Apr 26th, 2024 - 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 1215114483 NPPES
Florida MEDICAID 888776400

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