Mccalla, Tiffany N
Mccalla, Tiffany N is an individual health care provider with primary practice located at 12794 Forest Hill Blvd Ste 9-10 , Wellington FL 33414-4710. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Mccalla, Tiffany N can be contacted via phone (561) 252-5398.Contact Information
Primary practice address
12794 Forest Hill Blvd Ste 9-10
Wellington FL 33414-4710
Phone: (561) 252-5398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0063078 | Maryland |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M7412 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME103480 | Florida |
Profile Details
| NPI number | 1003877523 |
|---|---|
| LBN Legal business name | Mccalla, Tiffany N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Jan 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003877523 | NPPES |
| Texas | Other | 8U4003 | BCBS |
| Texas | MEDICAID | 189741501 | BCBS |
| Texas | MEDICAID | 408208700 | BCBS |
| Texas | Other | 8AX740 | BCBS |
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