Fallen, Tina Brock

Fallen, Tina Brock is an individual health care provider with primary practice located at 515 S Kings Ave Ste 3100 , Brandon FL 33511-6060. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fallen, Tina Brock can be contacted via phone (813) 681-9171.

Contact Information

Primary practice address
515 S Kings Ave Ste 3100 Brandon FL 33511-6060
Phone: (813) 681-9171
Fax: (813) 681-7580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP3394792 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3394792 Florida

Profile Details

NPI number 1174515423
LBN Legal business name Fallen, Tina Brock
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jan 26th, 2024 - about 2 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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