TIFFANY GAIL MINNIS

PORT SAINT LUCIE, FL
NPI1720537343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  F0916653)
Enumeration Date2016-09-23
Last Update Date2017-02-22
Business Address
-- TIFFANY GAIL MINNIS NP-C
693 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34953-1998
Phone number: 772-398-6200
Mailing Address
-- TIFFANY GAIL MINNIS NP-C
4131 WORLINGTON TERRACE
FORT PIERCE, FL 34947
Phone number: 772-882-0687
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