Individual
TINA MARIE FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 TWIN PALMS RD, FRUITLAND PARK, FL 34731-6050
(352) 460-7009
(352) 504-0233
Mailing address
1310 W NORTH BLVD STE 2, LEESBURG, FL 34748-3922
(352) 460-7009
(352) 460-7009
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
13002179A
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
13002335A
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
13002375A
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
13002433
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
13002471
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
13002472
FL
Other
Enumeration date
01/30/2026
Last updated
02/02/2026
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