Individual
TINA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 LODESTAR DR, HOLIDAY, FL 34690-6518
(727) 614-2069
(727) 940-3650
Mailing address
1201 LODESTAR DR, HOLIDAY, FL 34690-6518
(727) 614-2069
(727) 940-3650
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
6906848
FL
Other
Enumeration date
04/17/2016
Last updated
04/17/2016
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