Provider Demographics
NPI:1376899500
Name:HEMME, TINA HOFFMAN (MSN,NP-C)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:HOFFMAN
Last Name:HEMME
Suffix:
Gender:F
Credentials:MSN,NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13220 STARKEY RD STE 500
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-1446
Mailing Address - Country:US
Mailing Address - Phone:727-398-7701
Mailing Address - Fax:727-287-4541
Practice Address - Street 1:13220 STARKEY RD STE 500
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-1446
Practice Address - Country:US
Practice Address - Phone:727-398-7701
Practice Address - Fax:727-287-4541
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9280848363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023075200Medicaid