Provider Demographics
NPI:1851003248
Name:TOMLINSON, VATAZIA
Entity Type:Individual
Prefix:
First Name:VATAZIA
Middle Name:
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5057 FOXBRIDGE CIR N APT 160
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3230
Mailing Address - Country:US
Mailing Address - Phone:727-303-6802
Mailing Address - Fax:
Practice Address - Street 1:5057 FOXBRIDGE CIR N APT 160
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3230
Practice Address - Country:US
Practice Address - Phone:727-303-6802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238718376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker