Individual
TINA ANN UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 NW 44TH ST, OCALA, FL 34475-3123
(352) 512-7682
(352) 512-0977
Mailing address
1918 NW 44TH ST, OCALA, FL 34475-3123
(352) 512-7682
(352) 512-0977
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
232692
FL
376K00000X
Nurse's Aide
104223
FL
Other
Enumeration date
07/21/2012
Last updated
07/21/2012
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