Individual
TINA SINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 LABELLE ST APT 159, JACKSONVILLE, FL 32205-6975
(903) 223-3353
Mailing address
PO BOX 5061, JACKSONVILLE, FL 32247-5061
(904) 223-3353
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
237103
FL
376J00000X
Homemaker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108429600
—
FL
Enumeration date
09/10/2020
Last updated
02/21/2022
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