Tiberia, Judith A

Tiberia, Judith A is an individual health care provider with primary practice located at 3191 Harbor Blvd Ste A Suite A, Port Charlotte FL 33952-6755. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Tiberia, Judith A can be contacted via phone (941) 766-9555.

Contact Information

Primary practice address
3191 Harbor Blvd Ste A Suite A Port Charlotte FL 33952-6755
Phone: (941) 766-9555
Fax: (941) 766-1511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN2927142 Florida

Profile Details

NPI number 1811982473
LBN Legal business name Tiberia, Judith A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 6th, 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 1811982473 NPPES
Florida MEDICAID 300323000
Florida Other Y7196

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