Individual provider · Type 1 NPI
Tiffany Renee Comerie, PA
Medical Physician Assistant · Lauderdale Lakes, FL
NPI number
1164822649
Active
Practice location
5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Mailing address
6122 Grand Cypress Cir E
Coconut Creek, FL 33073-2343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9108164 (FL) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Lauderdale Lakes
About NPI 1164822649
Tiffany Renee Comerie, PA's National Provider Identifier is 1164822649, issued on Sep 3, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Sep 18, 2014.