Porreca, Tina

Porreca, Tina is an individual health care provider with primary practice located at 16697 Shell Bay Dr , Land O Lakes FL 34638-5749. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Porreca, Tina can be contacted via phone (727) 631-2466.

Contact Information

Primary practice address
16697 Shell Bay Dr Land O Lakes FL 34638-5749
Phone: (727) 631-2466
Fax: (813) 345-2896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X SA 8085 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA8085 Florida

Profile Details

NPI number 1285722538
LBN Legal business name Porreca, Tina
Credentials M.S.,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 12th, 2024 - about last year

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 1285722538 NPPES
Florida MEDICAID 890827300
Florida Other FT923Z
Florida Other S3069
Florida MEDICAID 010713100
Florida Other 010713100

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