Tia Marie Fuller
Dermatologist
13330 Usf Laurel Dr
Tampa
, Florida 33612-6601
Tia Marie Fuller
Dermatologist
13330 Usf Laurel Dr
Tampa
, Florida 33612-6601
(352) 277-6877
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Tia Marie Fuller
- 2602 W Cleveland St Unit 3
- Tampa, FL
- Zip : 33609-3653
- Phone : (352) 277-6877
Second Address
- Tia Marie Fuller
- 13330 Usf Laurel Dr
- Tampa, FL
- Zip : 33612-6601
- Phone : (813) 974-4744
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | APRN11016094 | FL |
National Provider Identifier
| NPI | 1033872767 |
|---|---|
| Provider Name | Tia Marie Fuller |
| First Address | Tampa, FL 33609-3653 |
| Second Address | Tampa, FL 33612-6601 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2021 |
| Last Update Date | 19/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.