Individual
MRS. TINA MARIE SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1039 S MILDRED AVE, BROOKSVILLE, FL 34601-3601
(352) 573-8487
Mailing address
1039 S MILDRED AVE, BROOKSVILLE, FL 34601-3601
(352) 573-8487
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002543400
—
FL
Enumeration date
09/18/2010
Last updated
09/18/2010
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