Provider Demographics
NPI:1316254394
Name:WILLIAMS, TIFFANY (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:TIFFANY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 SAN REMO AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3041
Mailing Address - Country:US
Mailing Address - Phone:305-970-8542
Mailing Address - Fax:
Practice Address - Street 1:18300 NW 37TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-5101
Practice Address - Country:US
Practice Address - Phone:305-626-9469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-11
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202209603183500000X
FLPS44225183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist