TIKI STAFFORD NPI 1427234152

NPI Information

NPI: 1427234152
Provider Name: TIKI STAFFORD
Classification: Lodging - 177F00000X
Entity Type: Individual
Address:
523 FERN ST
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 764-2891
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Tiki Stafford is a lodging in Jacksonville, FL. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. Tiki Stafford NPI is 1427234152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

523 FERN ST
JACKSONVILLE, FL
ZIP 32206-238
Phone: (904) 764-2891

The enumeration date for this NPI number is 1/11/2008 and was last updated on 1/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	177F00000X	Lodging		AL11189	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AL11189	OTHER	FLORIDA	AHCA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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