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

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9108164 (FL)

Medical Physician Assistant: Definition to come...

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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.