Tiffany Noel Carillet in Melbourne - Physician Assistant
Tiffany Noel Carillet - NPI 1922172485
Tiffany Noel Carillet is a Physician Assistant in Melbourne, Florida. Tiffany Noel Carillet practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tiffany Noel Carillet is 1922172485. The last update date is 2017-05-01.
Tiffany Noel Carillet's current location address is 2107 Dairy Rd, Melbourne, Florida. You can contact this provider via phone number 3219568224 and fax number 3219568225. The mailing address for Tiffany Noel Carillet is 2107 Dairy Rd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiffany Noel Carillet |
|---|---|
| Address | 2107 Dairy Rd, Melbourne, Florida |
| Phone Number | 3219568224 |
| Fax Number | 3219568225 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1922172485 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2017-05-01 |
Provider Mailing Address Detail
| Address | 2107 Dairy Rd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329045241 |
| Phone Number | 3219568224 |
| Fax Number | 3219568225 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 9102635 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00450359 | FL | RRMCA OR MCA PIN | |
| 292694600 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tiffany Noel Carillet by the Centers for Medicare & Medicaid Services?
The Tiffany Noel Carillet has been assigned the NPI (National Provider Identifier) 1922172485. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tiffany Noel Carillet?
The Tiffany Noel Carillet is physically situated at 2107 Dairy Rd, in the city of Melbourne, state of FL, with the postal code 329045241.
What is the area of specialization for Tiffany Noel Carillet, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tiffany Noel Carillet is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Tiffany Noel Carillet receive its 1922172485?
The Tiffany Noel Carillet was issued its 1922172485 on 2006-11-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Tiffany Noel Carillet last refreshed?
The information related to the Tiffany Noel Carillet, including its address, specialty, and other relevant details, was last updated on 2017-05-01.