Individual
MRS. TABITHA ELIZABETH BRUINSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(218) 412-8003
(321) 843-8777
Mailing address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(321) 841-2800
(321) 843-8777
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9284474
FL
363LF0000X
Family Nurse Practitioner
ARNP9284474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9284474
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/12/2018
Last updated
07/09/2024
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