Rodriguez, Tiffany

Rodriguez, Tiffany is an individual health care provider with primary practice located at 917 N Pennsylvania Ave Premaplay Llc, Winter Park FL 32789-2456. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Rodriguez, Tiffany can be contacted via phone (407) 790-5601.

Contact Information

Primary practice address
917 N Pennsylvania Ave Premaplay Llc Winter Park FL 32789-2456
Phone: (407) 790-5601
Fax: (407) 602-7858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA13822 Florida

Profile Details

NPI number 1316319049
LBN Legal business name Rodriguez, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2015
Last updated Oct 21st, 2015 - about 9 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 1316319049 NPPES
Florida MEDICAID 013653800

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