Individual
TINA THUY VY O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0294
(352) 273-7943
(352) 392-3498
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0294
(352) 273-7943
(352) 392-3498
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME131357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021310800
—
FL
01
—
JA455Z
MEDICARE PTAN
—
Enumeration date
06/06/2013
Last updated
08/14/2017
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