person
Fred Moline
Psychiatric/Mental Health Nurse Practitioner in Tampa, Florida
NPI 1649971334

Fred Moline is a Psychiatric/Mental Health Nurse Practitioner based in North Miami Beach, FL and is specialized in Psychiatric/Mental Health. Fred Moline practices in Tampa, FL. The NPI Number for Fred Moline is 1649971334 and holds a License No. 11025185 (Florida).

The current practice location address for Fred Moline is 5510 N Hesperides St, Tampa, FL and can be reached out via phone at 813-467-6111.

Location: 5510 N Hesperides St, Tampa, FL, 33162-4339
person
Provider Profile Details
NPI Number
1649971334
Provider Name
Fred Moline
Credential
Provider Entity Type
Individual
Gender
Male
Address
5510 N Hesperides St, Tampa, FL, 33162-4339
Phone Number
813-467-6111
Fax Number
Provider Enumeration Date
03/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5510 N Hesperides St
City
State
Zip
33614-5414
Phone Number
813-467-6111
Fax Number
person
Provider Business Mailing Address Details
Address
5510 N Hesperides St
City
State
Zip
33614-5414
Phone Number
813-467-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11025185 (Florida)
Definition
Definition to come...
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