Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Square Family Practice P A

Organization Family Medicine Physician · NPI 1699729616

Tiffany Square Family Practice P A provides Family Medicine Physician services in Englewood, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

2828 S McCall Rd Ste 21
Englewood, FL 34224 Not confirmed with CMS for 18 years — call before visiting
Phone: (941) 474-8154
Fax: (941) 473-3583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (FL)

Record details

NPI number1699729616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Nimbargi — President · (941) 474-8154
NPI enumeratedMay 22, 2006
Last updated in NPPESMay 15, 2008
Mailing address2828 S McCall Rd, Ste 21, Englewood, FL 34224

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