Thiele, Theresa Marie

Thiele, Theresa Marie is an individual health care provider with primary practice located at 101 Flamingo Dr Ste A , Apollo Beach FL 33572-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thiele, Theresa Marie can be contacted via phone (813) 645-7502.

Contact Information

Primary practice address
101 Flamingo Dr Ste A Apollo Beach FL 33572-2600
Phone: (813) 645-7502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101357 Florida

Profile Details

NPI number 1922023639
LBN Legal business name Thiele, Theresa Marie
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 7th, 2022 - about 3 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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