Antony, Tia Anne

Antony, Tia Anne is an sole proprietor health care provider with primary practice located at 878 Se 25Th St , Okeechobee FL 34974-3210. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Antony, Tia Anne can be contacted via phone (772) 979-0415.

Contact Information

Primary practice address
878 Se 25Th St Okeechobee FL 34974-3210
Phone: (772) 979-0415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9343406 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 11024212 Florida

Profile Details

NPI number 1669005310
LBN Legal business name Antony, Tia Anne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2020
Last updated Mar 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669005310 NPPES
Florida MEDICAID A535801836650

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