TIKI STAFFORD


Address: 523 Fern St, Jacksonville, FL 32206-6238
Phone: 9047642891

TIKI STAFFORD (NPI# 1427234152) 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) 1427234152
Entity Type Individual
Full Name TIKI STAFFORD
Practice Address 523 Fern St
Jacksonville
FL 32206-6238
Practice Telephone 9047642891
Mailing Telephone 9047642891
Enumeration Date 2008-01-11
Last Update Date 2008-01-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 177F00000X Lodging AL11189 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL AHCA AL11189 01

Office Location

Street Address 523 FERN ST
City JACKSONVILLE
State FL
Zip Code 32206-6238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104332188 Reffines House Assisted Living Facility 523 Fern St, Jacksonville, FL 32206-6238 2017-12-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790275543 Marvin Victor Sindel IIi Nurse Practitioner 1241 E 8th St, Jacksonville, FL 32206 2018-05-17
1982126553 Marcia Camille Holloway In Home Supportive Care 647 East 31th Street, Jacksonville, FL 32206 2017-07-14
1407302656 Tahnita Fleming Day Training, Developmentally Disabled Services 1309 Van Buren Street, Jacksonville, FL 32206 2016-08-28
1912202136 Bishop Home Care, Inc Clinic/Center 1627 E 8th Street, Jacksonville, FL 32206 2011-01-19
1407183965 Richard Adam Crosby Chiropractor 4211 North Pearl St., Jacksonville, FL 32206 2009-11-04
1346494903 Delvenia Renee Mitchell Specialist 4515 N Pearl St Apt 2, Jacksonville, FL 32206 2008-11-10
1962662775 Curtis Michael Bryant Radiology 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 2008-06-15
1932253879 Gale Marie Cohen-weiss Social Worker Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 2007-01-22
1396817557 Bella Caimol Ejercito Internal Medicine 4608 Norwood Ave, Jacksonville, FL 32206 2006-11-14
1962584433 Jessica Ivette Warthen Pharmacist 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 2006-10-20
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Taxonomy Information

Taxonomy Code 177F00000X
Grouping Other Service Providers
Classification Lodging

Taxonomy Definition

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689863185 Torina Laterral Brooks Lodging 450 W 58th St, Jacksonville, FL 32208-4140 2007-10-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912525627 Ronaldmcdonald House Charities South Florida Lodging 1145 Nw 14th Ter, Miami, FL 33136-1050 2020-07-09
1083278675 Paradise Oasis LLC Lodging 363 W River Rd, Chattahoochee, FL 32324-2316 2019-04-29
1609333608 Lmab LLC Lodging 66 W Flagler St Ste 900, Miami, FL 33130-1807 2019-02-26
1871003970 Des'aille Outreach, LLC Lodging 1202 Golden Gate Ave, Orlando, FL 32808-7476 2017-10-04
1922327063 Ioana Adams Lodging 10579 101st Ave, Seminole, FL 33772-2502 2010-05-28
1487973624 Heavenly Choice Adult Group Home Lodging 5500 Watkins Rd, Haines City, FL 33844-6254 2010-05-27
1497998371 Coralie Prince Lodging 2440 Emerson Dr Se, Palm Bay, FL 32909-4972 2009-04-08
1144463175 Daphne Lewis Lodging 8424 Sheraton Dr, Miramar, FL 33025-2825 2009-04-07
1437390291 Ethel Harriet Stevens Lodging 12365 152nd St N, Jupiter, FL 33478-3558 2009-03-09
1477791101 Pedro Anthony Barclay Lodging 3910 W Washington St, Orlando, FL 32805-1964 2009-02-03
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32206

Improve Information

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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.

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