| Tiffany Varela Khan, APRN | |
|
350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 | |
| (386) 238-3200 | |
| (386) 676-7125 |
| Full Name | Tiffany Varela Khan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 350 N Clyde Morris Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205451705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11007446 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excellence Health Llc | 0840534160 | 38 |
| Entity Name | Excellence Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447741749 PECOS PAC ID: 0840534160 Enrollment ID: O20181127002760 |
| Entity Name | Renew Wound Care Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811631591 PECOS PAC ID: 1951788256 Enrollment ID: O20220505002450 |
| Entity Name | Excellence Health Wound Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215633441 PECOS PAC ID: 2264965565 Enrollment ID: O20241024003624 |
| Entity Name | Excellence Health Care At Home, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336906080 PECOS PAC ID: 4183153455 Enrollment ID: O20250131000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Varela Khan, APRN Po Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130 | Tiffany Varela Khan, APRN 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 Ph: (386) 238-3200 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Debra Dowell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 866-486-1253 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Lyne E Homeus, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1845 Holsonback Dr., Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Souad Omri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-615-0900 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 |