Provider Demographics
NPI:1851563969
Name:TOBIA, MARLA BROWN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:BROWN
Last Name:TOBIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 6TH AVE S
Mailing Address - Street 2:DEPT. 0572
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4634
Mailing Address - Country:US
Mailing Address - Phone:727-767-8801
Mailing Address - Fax:727-767-2694
Practice Address - Street 1:501 6TH AVE S
Practice Address - Street 2:DEPT. 0572
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4634
Practice Address - Country:US
Practice Address - Phone:727-767-8801
Practice Address - Fax:727-767-2694
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5082363LN0005X
FLARNP9306926363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007317700Medicaid