Hooper, Tia Letricia
Hooper, Tia Letricia is an sole proprietor health care provider with primary practice located at 10036 Water Works Ln , Riverview FL 33578-5301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hooper, Tia Letricia can be contacted via phone (813) 961-1411.Contact Information
Primary practice address
10036 Water Works Ln
Riverview FL 33578-5301
Phone: (813) 961-1411
Fax: (813) 671-1056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME72164 | Florida |
Profile Details
| NPI number | 1043274079 |
|---|---|
| LBN Legal business name | Hooper, Tia Letricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Dec 5th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043274079 | NPPES |
| Florida | MEDICAID | 252666200 |
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