MEDICARE: ROSALINDA TIONGCO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN9197202	FL
2	363LP0200X	Pediatric Nurse Practitioner	ARNP9197202	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9197202	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154392207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALINDA TIONGCO APRN

Provider Business Mailing Address
First Line	:	7109 HARVEST GLEN LN
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-8643
Country	:	US
Telephone Number	:	813-842-8353
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 TAMPA GENERAL CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3571
Country	:	US
Telephone Number	:	813-821-8038
Fax Number	:	813-974-0483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	01/07/2026

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