| Tiffany Sizemore Do Pa | |
|
1409 Se 1st Ave Fort Lauderdale FL 33316-1805 | |
| (561) 716-7943 | |
| Not Available |
| Full Name | Tiffany Sizemore Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1409 Se 1st Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Tiffany S Di Pietro (PRESIDENT) |
| Authorized Official Contact | 5617167943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Sizemore Do Pa 807 Sw 15th St Fort Lauderdale FL 33315-1626 Ph: (561) 716-7943 | Tiffany Sizemore Do Pa 1409 Se 1st Ave Fort Lauderdale FL 33316-1805 Ph: (561) 716-7943 |
| NPI Number | 1184998833 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 01/07/2024 |
| Medicare PECOS PAC ID | 3577711969 |
|---|---|
| Medicare Enrollment ID | O20120910000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184998833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS11050 (Florida) | Primary |
| Provider Name | Tiffany S Di Pietro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043448046 PECOS PAC ID: 1052592144 Enrollment ID: I20110223000041 |
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