Tiffany Monahan, O.D. LLC
Optometrist in Gainesville, FL. Organization (NPI-2).
NPI number1720160096
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720160096
- Entity type
- Organization (NPI-2)
- Legal business name
- Tiffany Monahan, O.D. LLC
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | opc 3490 | FL | Yes |
Practice location
3564 Sw Archer RdGainesville, FL 32608-2438
Phone 352-371-0994
Mailing address
3533 Sw 87th DrGainesville, FL 32608-7951
Phone 352-359-1803
Authorized official
Tiffany Kay Monahan
President
3523710994
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