Tipton, Bobby Eugne
Tipton, Bobby Eugne is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 550, Daytona Beach FL 32114-2766. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Tipton, Bobby Eugne can be contacted via phone (386) 425-8582.Contact Information
Primary practice address
311 N Clyde Morris Blvd Suite 550
Daytona Beach FL 32114-2766
Phone: (386) 425-8582
Fax: (386) 252-1776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | A95318 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5005055 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 5005055 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP3018142 | Florida |
Profile Details
| NPI number | 1649237512 |
|---|---|
| LBN Legal business name | Tipton, Bobby Eugne |
| Credentials | ANP-BC, CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649237512 | NPPES |
| South Carolina | MEDICAID | NP0829 |
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