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1194501585
TIFFANY FERNANDEZ
ORLANDO, FL
NPI
1194501585
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Former Name
TIFFANY LUGO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA31115)
Enumeration Date
2023-09-01
Last Update Date
2023-09-01
Business Address
TIFFANY FERNANDEZ
5165 ADANSON ST
ORLANDO, FL 32804-1331
Phone number: 516-606-6810
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Mailing Address
TIFFANY FERNANDEZ
11305 SUMMER WIND CT
CLERMONT, FL 34711-5032
Phone number: 516-606-6810
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