Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | ME0051360 | FL |
NPI | 1053389619 |
---|---|
Provider Name | Dr. Steven Barry Tinsley |
First Address | Largo, FL 33770-2276 |
Second Address | Clearwater, FL 33756-5615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 08/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
370323100 | (05) | FL |
E49851 | (02) | FL |