Healthcare Provider Details

I. General information

NPI: 1679037626
Provider Name (Legal Business Name): TIFFANY A DARLING DNP, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

PO BOX 100238
GAINESVILLE FL
32610-0238
US

V. Phone/Fax

Practice location:
  • Phone: 407-897-3499
  • Fax:
Mailing address:
  • Phone: 352-294-8278
  • Fax: 352-265-0379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN0000025332
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11011449
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: