Provider Demographics
NPI:1609761709
Name:WHITMIRE, TIFFANY AILEEN
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:AILEEN
Last Name:WHITMIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14091 SE 95TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-3690
Mailing Address - Country:US
Mailing Address - Phone:352-304-1732
Mailing Address - Fax:
Practice Address - Street 1:14091 SE 95TH AVE
Practice Address - Street 2:
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-3690
Practice Address - Country:US
Practice Address - Phone:352-304-1732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider