Healthcare Provider Details

I. General information

NPI: 1659950533
Provider Name (Legal Business Name): TIFFANY TSENG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E LAKE RD
PALM HARBOR FL
34685-2430
US

IV. Provider business mailing address

900 E LAKE RD
PALM HARBOR FL
34685-2430
US

V. Phone/Fax

Practice location:
  • Phone: 727-784-5771
  • Fax:
Mailing address:
  • Phone: 727-784-5771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS55693
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26214
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: