Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9385076 | FL |
NPI | 1003328048 |
---|---|
Provider Name | Prof. Tiffany Ann Ojea |
First Address | Miami, FL 33155-5513 |
Second Address | Miami, FL 33155-5513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2017 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP9385076 | STATE DEPT OF HEALTH (01) | FL |