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1346824240
TIFFANY LYNN SMITH
BRADENTON, FL
NPI
1346824240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9114350)
Enumeration Date
2021-05-07
Last Update Date
2021-12-10
Business Address
Mrs. TIFFANY LYNN SMITH PA-C
379 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-782-4150
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Mailing Address
Mrs. TIFFANY LYNN SMITH PA-C
4102 OAKLAWN CT APT 101
TAMPA, FL 33603-3346
Phone number: 813-447-0538
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