| Tiffany Rose Marcum, OTR/L | |
|
3387 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | |
| (850) 530-8189 | |
| Not Available |
| Full Name | Tiffany Rose Marcum |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3387 Gulf Breeze Parkway, Gulf Breeze, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508195207 | NPI | - | NPPES |
| 15394 | Other | FL | MANAGED CARE AND MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 15394 (Florida) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20120830000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Rose Marcum, OTR/L 1833 Sundown Drive, Navarre, FL 32566-4315 Ph: (850) 313-9243 | Tiffany Rose Marcum, OTR/L 3387 Gulf Breeze Parkway, Gulf Breeze, FL 32563 Ph: (850) 530-8189 |
Julia Aicardi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3428 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-932-2655 | |
Danielle Marie Pouti, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4410 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-932-8200 Fax: 950-932-8200 | |
Jessica Colleen Maresh, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3428 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-932-2655 | |
Christy Jordan Taylor, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3387 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-932-9257 | |
Tracy Walck, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Mcabee Ct, Gulf Breeze, FL 32561 Phone: 850-748-2841 | |
Misty Cortes-thomas, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4410 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 859-492-1273 | |
Lisa M Robertson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3408 Santa Rosa Dr, Gulf Breeze, FL 32563 Phone: 850-932-4078 Fax: 850-932-8918 |