Theobald, Tina N

Theobald, Tina N is an sole proprietor health care provider with primary practice located at 3302 W Baker St , Plant City FL 33563-2851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Theobald, Tina N can be contacted via phone (813) 752-1336.

Contact Information

Primary practice address
3302 W Baker St Plant City FL 33563-2851
Phone: (813) 752-1336
Fax: (813) 754-6914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9268946 Florida

Profile Details

NPI number 1710310768
LBN Legal business name Theobald, Tina N
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2013
Last updated Nov 14th, 2013 - about 12 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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