TIFFANY NOEL CARILLET


Address: 2107 Dairy Rd, Melbourne, FL 32904-5241
Phone: 3219568224

TIFFANY NOEL CARILLET (NPI# 1922172485) 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) 1922172485
Entity Type Individual
Full Name TIFFANY NOEL CARILLET
Credential PA
Practice Address 2107 Dairy Rd
Melbourne
FL 32904-5241
Practice Telephone 3219568224
Practice Fax Number 3219568225
Mailing Telephone 3219568224
Mailing Fax Number 3219568225
Enumeration Date 2006-11-17
Last Update Date 2017-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA 9102635 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 292694600 05
FL RRMCA OR MCA PIN P00450359 01

Office Location

Street Address 2107 DAIRY RD
City MELBOURNE
State FL
Zip Code 32904-5241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164448072 Miguel Lynn Lorente Legal Medicine 2107 Dairy Rd, Melbourne, FL 32904-5209 2006-07-14
1740504455 Physician Associates LLC Internal Medicine 2107 Dairy Rd, Melbourne, FL 32904-5209 2010-03-24
1265765531 Dairy Road Urgent Care LLC Clinic/Center 2107 Dairy Rd, Melbourne, FL 32904-5209 2009-09-17
1285813147 Premiere Medical Group Pa General Acute Care Hospital 2107 Dairy Rd, Melbourne, FL 32904-5209 2007-10-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063066512 Shepherd's Heart Ministries Counselor 900 S Wickham Rd, Melbourne, FL 32904 2019-08-01
1588138663 Nicholle C Rothengass Physician Assistant 2263 W New Haven Ave # 350, W Melbourne, FL 32904 2019-01-11
1114407020 Natalie Havkin Speech-Language Pathologist 250 S Wickham Rd., Melbourne, FL 32904 2018-08-20
1184119299 Marni B Simon Speech-Language Pathologist 565 Acacia Ave, Melbourne Village, FL 32904 2018-06-30
1821588625 Walden Psychological Services, LLC Psychologist 3400 Willowwood Dr, Melbourne, FL 32904 2018-05-16
1598276271 Donetta Gwin Reynolds Early Intervention Provider Agency 764 Triples Crown Lane, West Melbourne, FL 32904 2017-10-20
1598205221 Marathon Health, LLC General Practice 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 2017-02-28
1366875387 Cancer Center of Melbourne LLC Clinic/Center 415 S. Wickham Rd., Melbourne, FL 32904 2013-08-13
1558704312 Sandra Suzanne Borthwick Social Worker 569 Sylvia Rd, Melbourne, FL 32904 2013-04-11
1396983607 Genesis Skilled Nursing Facility 2653 Reflections Pl, W. Melbourne, FL 32904 2009-01-23
Find all providers in zip 32904

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
1164021895 Breeyon Beachel Physician Assistant 4610 Beck Lake Trl Apt 1, Melbourne, FL 32901-8805 2020-10-23
1215535257 Melissa Lee Amos Physician Assistant 3543 Providence Trace Dr, Melbourne, KY 41059-9203 2020-10-12
1720694326 Michelle Smith Physician Assistant 2330 Andrea Ct, Melbourne, FL 32934-7601 2020-09-18
1093331787 Alyssa Capawana Physician Assistant 6740 Shadow Creek Trl Apt 5410, Melbourne, FL 32940-6293 2020-06-18
1194359018 Jarrod D Kearney Physician Assistant 580 N Wickham Rd Ste C, Melbourne, FL 32935-8400 2020-02-29
1104392851 Rachel Margaret Martins Physician Assistant 1052 Fieldstone Dr, Melbourne, FL 32940-1633 2018-10-21
1497230320 Mirabella M. Muller Physician Assistant 298 Michigan Ave Ste 101, Melbourne, FL 32901-3104 2018-09-26
1952743924 Kristin Wagner Physician Assistant 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 2013-07-19
1538485941 David Luke Brightwell Physician Assistant 54 Tate Springs Rd, Melbourne, AR 72556-8633 2010-04-09
1679808588 Maycie A Cruz Physician Assistant Family Practice of Suntree and Viera, 2 Suntree Place, Melbourne, FL 32940 2009-10-09
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32904

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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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