Individual
DR. TINA MARIE WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP ARNP-BC BC-ADM
Contact information
Practice address
121 GRIFFIN VIEW DR, LADY LAKE, FL 32159-4315
(352) 259-3636
Mailing address
121 GRIFFIN VIEW DR, LADY LAKE, FL 32159-4315
(352) 259-3636
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1752602
FL
Other
Enumeration date
07/11/2006
Last updated
11/03/2017
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