Hicks, Tasha Michelle

Hicks, Tasha Michelle is an individual health care provider with primary practice located at 11140 W Colonial Dr Ste 1 , Ocoee FL 34761-3300. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Hicks, Tasha Michelle can be contacted via phone (407) 877-6500.

Contact Information

Primary practice address
11140 W Colonial Dr Ste 1 Ocoee FL 34761-3300
Phone: (407) 877-6500
Fax: (321) 203-4612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9298689 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9298689 Florida

Profile Details

NPI number 1972055218
LBN Legal business name Hicks, Tasha Michelle
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Aug 11th, 2021 - about 5 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 1972055218 NPPES
Florida MEDICAID 021603000

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