Dodge, Tiffany L.

Dodge, Tiffany L. is an individual health care provider with primary practice located at 5500 Little Rd , New Port Richey FL 34655-1105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dodge, Tiffany L. can be contacted via phone (727) 372-1005.

Contact Information

Primary practice address
5500 Little Rd New Port Richey FL 34655-1105
Phone: (727) 372-1005
Fax: (727) 807-7081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109263 Florida

Profile Details

NPI number 1417321969
LBN Legal business name Dodge, Tiffany L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2015
Last updated Jan 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417321969 NPPES
Florida Other HUYKT BLUE CROSS BLUE SHIELD
Florida MEDICAID 016655400 BLUE CROSS BLUE SHIELD

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