Liberato, Tanya Michelle
Liberato, Tanya Michelle is an individual health care provider with primary practice located at 10729 Queens Town Dr , Riverview FL 33579-7186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Liberato, Tanya Michelle can be contacted via phone (813) 672-3497.Contact Information
Primary practice address
10729 Queens Town Dr
Riverview FL 33579-7186
Phone: (813) 672-3497
Fax: (813) 741-2418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0079054 | Florida |
Profile Details
| NPI number | 1134146673 |
|---|---|
| LBN Legal business name | Liberato, Tanya Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 10th, 2021 - about 4 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 | 1134146673 | NPPES |
| Florida | MEDICAID | 259128600 |
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