Al-Jarboua, La Tasha

Al-Jarboua, La Tasha is an individual health care provider with primary practice located at 9800 4Th St N Ste 200 , St Petersburg FL 33702-2462. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Al-Jarboua, La Tasha can be contacted via phone (833) 399-0957.

Contact Information

Primary practice address
9800 4Th St N Ste 200 St Petersburg FL 33702-2462
Phone: (833) 399-0957
Fax: (727) 335-1174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 0010-04854 North Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0010-04854 North Carolina
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 54234 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-04854 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 54234 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 54234 California

Profile Details

NPI number 1588078000
LBN Legal business name Al-Jarboua, La Tasha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Nov 17th, 2020 - about 6 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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