TIFFANY M INGHAM
Medical Practice at Cheval St, Mount Dora, FL

License number
Florida 115716
Issued Date
Apr 10, 2013
Effective Date
Jan 12, 2015
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
30212 Cheval St, Mount Dora, FL 32757
1368 Old Mace Rd, Canaveral Air Station, FL 32925
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

See more information about TIFFANY M INGHAM at bizstanding.com

TIFFANY M. INGHAM, M.D., PA

30212 Cheval St, Mount Dora, FL 32757

Registration:
Apr 29, 2015
State ID:
P15000038794
Business type:
Florida Profit Corporation
Tiffany M Ingham, 30212 Cheval St, Mount Dora, FL 32757 (Physical)
Agent:
Tiffany Ingham,30212 Cheval St, Mount Dora, FL 32757 (Physical)
FEI/EIN:
NO-NE

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