Provider Demographics
NPI:1316332141
Name:TIGHE, DANIELLE (MD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:TIGHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10151 ENTERPRISE CTR STE 101
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3760
Mailing Address - Country:US
Mailing Address - Phone:561-732-2136
Mailing Address - Fax:561-735-6501
Practice Address - Street 1:10151 ENTERPRISE CTR STE 101
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3760
Practice Address - Country:US
Practice Address - Phone:561-732-2136
Practice Address - Fax:561-735-6501
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN64710207R00000X
FLME135713207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine