Conner, Tina S

Conner, Tina S is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd Fl 1 , Tampa FL 33607-6307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Conner, Tina S can be contacted via phone (813) 870-4619.

Contact Information

Primary practice address
3001 W Dr Martin Luther King Jr Blvd Fl 1 Tampa FL 33607-6307
Phone: (813) 870-4619
Fax: (813) 554-8956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9202935 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9202935 Florida

Profile Details

NPI number 1346710159
LBN Legal business name Conner, Tina S
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2018
Last updated Feb 8th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346710159 NPPES
Florida MEDICAID 101913300

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