Bruinsma, Tabitha Elizabeth

Bruinsma, Tabitha Elizabeth is an sole proprietor health care provider with primary practice located at 76 Underwood St Ste 200 , Orlando FL 32806-1110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bruinsma, Tabitha Elizabeth can be contacted via phone (218) 412-8003.

Contact Information

Primary practice address
76 Underwood St Ste 200 Orlando FL 32806-1110
Phone: (218) 412-8003
Fax: (321) 843-8777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9284474 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9284474 Florida

Profile Details

NPI number 1629578083
LBN Legal business name Bruinsma, Tabitha Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2018
Last updated Jul 9th, 2024 - about 5 months 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 1629578083 NPPES
Florida Other ARNP9284474 STATE OF FLORIDA DEPARTMENT OF HEALTH

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