Individual
TIA MARIE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17 DAVIS BLVD STE 402, TAMPA, FL 33606-3438
(813) 821-8008
(813) 821-8355
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11016094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112562300
—
FL
01
—
9SX3G
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/19/2021
Last updated
03/20/2025
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