Tiffany N Carillet (NPI# 1922172485, PAC ID# 7618943606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922172485 |
| PAC ID by PECOS | 7618943606 |
| Professional Enrollment ID | I20040910000021 |
| Full Name | Tiffany N Carillet |
| Organization Legal Name | DAIRY ROAD URGENT CARE LLC |
| Address |
2107 Dairy Rd Melbourne FL 32904-5241 |
| Phone Number | 3219568224 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9133269293 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2107 Dairy Rd, Melbourne, FL 32904-5241 | 3219568224 | DAIRY ROAD URGENT CARE LLC |
| Organization Legal Name | DAIRY ROAD URGENT CARE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Harris Jr. | Physician Assistant | Dairy Road Urgent Care LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Robert E Walsh | Physician Assistant | Dairy Road Urgent Care LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Kimberly J Prough | Physician Assistant | Dairy Road Urgent Care LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Street Address |
2107 DAIRY RD |
| City | MELBOURNE |
| State | FL |
| Zip | 32904-5241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miguel L Lorente | Internal Medicine | Medical Associates of Brevard LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Daniel E Harris Jr. | Physician Assistant | Dairy Road Urgent Care LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Jagdeep Chhindra | Internal Medicine | Medical Associates of Brevard LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Robert E Walsh | Physician Assistant | Dairy Road Urgent Care LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Thomas N Anderson | Family Medicine | Medical Associates of Brevard LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Kimberly J Prough | Physician Assistant | Dairy Road Urgent Care LLC | 2107 Dairy Rd, Melbourne, FL 32904-5241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Brad E Mccollom | Neurosurgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 | |
| Robert J Kennedy | Diagnostic Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Find all physicians in zip 32904 | |||
| City | MELBOURNE |
| Zip Code | 32904 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MELBOURNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tiffany N Carillet.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.