Individual provider Active NPI

Tiffany Navarro, PA

  • Physician Assistant
  • Davie, FL
National Provider Identifier
1477425924
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3549 Gulfstream Way
Davie, FL 33328-1353
Phone
(561) 312-4452
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

3549 Gulfstream Way
Davie, FL 33328-1353

Mailing address

3549 Gulfstream Way
Davie, FL 33328-1353
Phone (561) 312-4452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223002863 FL Practitioner - Physician Assistant 1759876063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cerebrum Healthcare LLCGroup PAC ID 8729341847, 19 clinicians

Practice addresses (Care Compare)

2403 W Hillsboro Boulevard
Brookedale Deer Creek Alf
Deerfield Beach, FL 33442
Phone (954) 426-3800

37411 Eiland Blvd
Rosecastle of Zephyrhills
Zephyrhills, FL 33542-1800
Phone (813) 783-8100

5121 E Serena Dr
Palm Terrace Alf
Tampa, FL 33617-4012
Phone (813) 988-0033

9719 Lantana Rd
Lake Worth, FL 33467-6143
Phone (728) 231-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebrum Healthcare LLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

3225 S Macdill Ave
Ste 129300
Tampa, FL 33629
Phone (813) 324-1911

3225 S Macdill Ave
Tampa, FL 33629
Phone (813) 451-0013

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1477425924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 GULFSTREAM WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281353",
            "telephone_number": "561-312-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 GULFSTREAM WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281353",
            "telephone_number": "561-312-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "TIFFANY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.