TIFFANY RENEE COMERIE (NPI# 1164822649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164822649 |
| Entity Type | Individual |
| Full Name | TIFFANY RENEE COMERIE |
| Credential | PA |
| Practice Address |
5000 W Oakland Park Blvd Lauderdale Lakes FL 33313-1503 |
| Mailing Address |
6122 Grand Cypress Cir E Coconut Creek FL 33073-2343 |
| Practice Telephone | 9542637262 |
| Mailing Telephone | 9542637262 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108164 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5000 W OAKLAND PARK BLVD |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023003068 | Sterling Emergency Services of Florida, Pa | Emergency Medicine | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2005-09-15 |
| 1821695511 | Melissa Schubert | Physician Assistant | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1585 | 2020-10-06 |
| 1780226159 | Ricardo Francis Mandarano Jr. | Nurse Practitioner | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2019-10-17 |
| 1992369243 | Mihaela G Corteza | Internal Medicine | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2019-04-23 |
| 1003479189 | Stephanie Vietinghoff | Nurse Practitioner | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1585 | 2019-04-15 |
| 1760954812 | Kimberly Ferrante California | Physician Assistant | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1585 | 2018-12-28 |
| 1740781053 | Antoinette James Fisher | Registered Nurse | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2018-02-22 |
| 1770008211 | Elana Rachel Meair Brown | Nurse Practitioner | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2017-08-05 |
| 1730540493 | Miriam Donio | Nurse Practitioner | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2016-03-09 |
| 1366861478 | Jessica Wang | Nurse Practitioner | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447540315 | We Care Family Clinic Incorporated | Physician Assistant | 4410-12 W. Oakland Park Blvd., Lauderdale Lakes, FL 33313 | 2011-04-13 |
| 1588640056 | Cybelle Perez Herrera | Physician Assistant | 2957 Nw 27th St, Lauderdale Lakes, FL 33311-2040 | 2005-12-16 |
| 1245587161 | Didier Mbenza | Physician Assistant | 3500 N State Road 7, Suite 211, Lauderdale Lakes, FL 33319-5600 | 2012-08-09 |
| 1497057350 | Johana F Duque | Physician Assistant | 4850 W Oakland Park Blvd, 201, Lauderdale Lakes, FL 33313-7260 | 2010-11-29 |
| 1710963129 | Judith Spring Gallagher | Physician Assistant | 2957 Nw 27th St, Lauderdale Lakes, FL 33311-2040 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.