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NPI Code Detail

MEDICARE: TIFFANY DOWLING PT

MEDICARE: TIFFANY DOWLING PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT16767FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063589745
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY DOWLING PT
Provider Business Mailing Address
First Line : 484 HOMER AVE
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-6721
Country : US
Telephone Number : 321-279-7810
Fax Number :
Provider Business Practice Location Address
First Line : 4780 DATA CT
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8331
Country : US
Telephone Number : 407-852-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 09/30/2024

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