Stafford, Tiki

Stafford, Tiki is an sole proprietor health care provider with primary practice located at 523 Fern St , Jacksonville FL 32206-6238. She recently has only one registered license in Other Service Providers / Lodging, which is considered as her primary health care specialty. Stafford, Tiki can be contacted via phone (904) 764-2891.

Contact Information

Primary practice address
523 Fern St Jacksonville FL 32206-6238
Phone: (904) 764-2891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X AL11189 Florida

Profile Details

NPI number 1427234152
LBN Legal business name Stafford, Tiki
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2008
Last updated Jan 11th, 2008 - about 17 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 1427234152 NPPES
Florida Other AL11189 AHCA

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