Provider Demographics
NPI:1003328048
Name:OJEA, TIFFANY ANN (ARNP)
Entity Type:Individual
Prefix:PROF
First Name:TIFFANY
Middle Name:ANN
Last Name:OJEA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5320 SW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5513
Mailing Address - Country:US
Mailing Address - Phone:786-797-2272
Mailing Address - Fax:305-665-1881
Practice Address - Street 1:5320 SW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5513
Practice Address - Country:US
Practice Address - Phone:786-797-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-31
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9385076363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9385076OtherSTATE DEPT OF HEALTH