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1922559475
TIFFANY TATIANA PENA
MIAMI, FL
NPI
1922559475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9109748)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
Ms. TIFFANY TATIANA PENA PA-C
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone number: 305-668-5522
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Mailing Address
Ms. TIFFANY TATIANA PENA PA-C
3100 SW 62ND AVE
MIAMI, FL 33155-3009
Phone number: 305-668-5522
Copy
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