TIA MARIE FULLER

TAMPA, FL
NPI1033872767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  APRN11016094)
Enumeration Date2021-10-19
Last Update Date2022-07-29
Business Address
TIA MARIE FULLER APRN
13330 USF LAUREL DR
TAMPA, FL 33612-6601
Phone number: 813-974-4744
Mailing Address
TIA MARIE FULLER APRN
PO BOX 917770
ORLANDO, FL 32891-0001
Phone number:
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