| Tiffany Square Family Practice P A | |
|
2828 S Mccall Rd Ste 21 Englewood FL 34224 | |
| (941) 474-8154 | |
| (941) 473-3583 |
| Full Name | Tiffany Square Family Practice P A |
|---|---|
| Speciality | Family Medicine |
| Location | 2828 S Mccall Rd, Englewood, Florida |
| Authorized Official Name and Position | Stephen Philip Nimbargi (PRESIDENT) |
| Authorized Official Contact | 9414748154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Square Family Practice P A 2828 S Mccall Rd Ste 21 Englewood FL 34224 Ph: (941) 474-8154 | Tiffany Square Family Practice P A 2828 S Mccall Rd Ste 21 Englewood FL 34224 Ph: (941) 474-8154 |
| NPI Number | 1699729616 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699729616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
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