TIFFANY MARIE BLACK


Address: 356 E Midway Rd, Fort Pierce, FL 34982-7148
Phone: 7724649746

TIFFANY MARIE BLACK (NPI# 1306487400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306487400
Entity Type Individual
Full Name TIFFANY MARIE BLACK
Credential PA-C
Practice Address 356 E Midway Rd
Fort Pierce
FL 34982-7148
Mailing Address 12140 Aviles Cir
Palm Beach Gardens
FL 33418-8986
Practice Telephone 7724649746
Mailing Telephone 7722245134
Enumeration Date 2019-10-01
Last Update Date 2019-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9112529 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers TIFFANY BLACK

NPI Name Taxonomy Address Enumeration
1396247391 Tiffany Alex Black Clinic/Center 5310 Coral Ribbon Ave, Las Vegas, NV 89139-5832 2018-03-06
1750673216 Tiffany Clevette Black Psychologist 3447 Cobblestone Ct, Spencer, OK 73084-3258 2011-05-03
1316338841 Tiffany Black Social Worker 2939 Russell St, Detroit, MI 48207-4825 2015-02-05
1114212511 Tiffany B Black Counselor 1856 Cedar Hill Road, Lancaster, OH 43130-4178 2011-06-14
1548419377 Tiffany E Black Counselor 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 2008-09-17

Office Location

Street Address 356 E MIDWAY RD
City FORT PIERCE
State FL
Zip Code 34982-7148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801884028 Darla L Bagwell Nurse Practitioner 356 E Midway Rd, Fort Pierce, FL 34982-7148 2005-10-11
1902466287 Midway Infectious Diseases, LLC Internal Medicine 356 E Midway Rd, Fort Pierce, FL 34982-7148 2019-06-18
1366942039 Suzette Wood Pharmacist 356 E Midway Rd, Fort Pierce, FL 34982-7148 2018-02-19
1306393145 Lauren Leeflang Physician Assistant 356 E Midway Rd, Fort Pierce, FL 34982-7148 2016-09-09
1598114779 Midway Primary Care LLC Internal Medicine 356 E Midway Rd, Fort Pierce, FL 34982-7148 2016-06-08
1376970814 Midway Specialty Care Center Inc Internal Medicine 356 E Midway Rd, Fort Pierce, FL 34982-7148 2013-09-30
1477818367 Nichole M Castle Nurse Practitioner 356 E Midway Rd, Fort Pierce, FL 34982-7148 2012-07-07
1447544408 Moti Ramgopal Mdpa Internal Medicine 356 E Midway Rd, Fort Pierce, FL 34982-7148 2011-06-07
1356580518 Midway Immunology and Research Center Internal Medicine 356 E Midway Rd, Fort Pierce, FL 34982-7148 2009-02-11
1730389982 Makondo Shimukowa Internal Medicine 356 E Midway Rd, Fort Pierce, FL 34982-7148 2007-07-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932759305 Carehere LLC Family Medicine Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 2019-09-17
1548732159 Regenerative Medical Group Inc Family Medicine 2624 S, Us1, Fort Pierce, FL 34982 2018-12-20
1609352905 Shapiro Family Dentistry of Fort Pierce Pa Dentist Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 2018-07-19
1821585514 Coralis Ivette Reyes Social Worker 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 2018-04-18
1720509441 Quality Care Holdings Inc Non-emergency Medical Transport (VAN) 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 2017-07-03
1770013377 Kira Patricia Omeally Assistant Behavior Analyst 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 2017-06-15
1124557483 Linda S Colebrooke Marriage & Family Therapist 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 2017-06-08
1619404845 Angili Hamilton Social Worker 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 2017-05-18
1881146652 Tasha Daley Community Health Worker 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 2016-10-27
1952792764 Casper Lockwood Case Manager/Care Coordinator 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 2015-02-16
Find all providers in zip 34982

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851867105 Steven Kurumada Physician Assistant 5101 Okeechobee Rd, Fort Pierce, FL 34947-5415 2018-10-14
1780052951 Alison Hess Physician Assistant 1700 S. 23rd St, Fort Pierce, FL 34950 2015-09-04
1518334192 Ellie Leonard Physician Assistant 1804 Blue Heron Ln, Fort Pierce, FL 34982-8049 2015-08-30
1679633317 Kathleen Marie Thaxter Physician Assistant 727 North Us 1, Fort Pierce, FL 34950 2006-12-11
1235169665 Vernon Alvin Wright Physician Assistant 2402 Frist Blvd Ste 204, Fort Pierce, FL 34950-4838 2006-07-03
1770585747 Jennifer Simpson Ruprecht Physician Assistant 805 Virginia Ave, Suite 16, Fort Pierce, FL 34982-5881 2005-08-10
1841805686 Leslie Ann Cooper Physician Assistant 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 2020-09-09
1144850983 Victoria Camille Ecker Physician Assistant 2402 Frist Blvd Ste 204, Fort Pierce, FL 34950-4838 2020-01-21
1871130427 Lindsay Bowers Physician Assistant 1700 S 23rd St, Fort Pierce, FL 34950-4803 2019-12-03
1700447737 Allison Wrieden Physician Assistant 2401 Frist Blvd, Fort Pierce, FL 34950-4839 2019-06-20
Find all providers in FORT PIERCE

Competitor

Search similar providers

City FORT PIERCE
Zip Code 34982

Improve Information

Please comment or provide details below to improve the information on TIFFANY MARIE BLACK.

Dataset Information

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.

Trending Searches