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General NPI Number Information
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NPI Number | 1396557690
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Entity Type | Organization
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Legal Business Name | TIFFANY CERDA DPM PA
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 3659 S MIAMI AVE STE 3008
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City | MIAMI
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State | FL
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Zip | 33133-4225
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Country | US
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Telephone | 305-859-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 93 VIA DE CASAS NORTE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8815
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | TIFFANY E CERDA
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Credential | DPM
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Telephone | 561-707-4772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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