Sullivan, Tiffany Camille

Sullivan, Tiffany Camille is an individual health care provider with primary practice located at 503 Eichenfeld Dr Ste 104 , Brandon FL 33511-5984. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Tiffany Camille can be contacted via phone (813) 708-6107.

Contact Information

Primary practice address
503 Eichenfeld Dr Ste 104 Brandon FL 33511-5984
Phone: (813) 708-6107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 9340933 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11028986 Florida

Profile Details

NPI number 1235918012
LBN Legal business name Sullivan, Tiffany Camille
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2023
Last updated Apr 25th, 2024 - about 7 months 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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