Moline, Fred
Moline, Fred is an sole proprietor health care provider with primary practice located at 5510 N Hesperides St , Tampa FL 33614-5414. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Moline, Fred can be contacted via phone (813) 467-6111.Contact Information
Primary practice address
5510 N Hesperides St
Tampa FL 33614-5414
Phone: (813) 467-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 11025185 | Florida |
Profile Details
| NPI number | 1649971334 |
|---|---|
| LBN Legal business name | Moline, Fred |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2023 |
| Last updated | Jun 24th, 2026 - about 4 months 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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