Sailin Fonseca Portelles
Nurse Practitioner, Family in Tampa, FL. Individual provider (NPI-1).
NPI number1184293201
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1184293201
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sailin Fonseca Portelles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11014304 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | F06210386 | FL |
Practice location
6726 Hanley RdTampa, FL 33634-4739
Phone 813-284-7903
Mailing address
1400 Nw 107th Ave Ste 500Sweetwater, FL 33172-2746
Phone 813-648-6684
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