Provider Demographics
NPI:1871210989
Name:HOBBS, TIA SIMONE (APRN)
Entity type:Individual
Prefix:
First Name:TIA
Middle Name:SIMONE
Last Name:HOBBS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MEDICAL CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-5463
Mailing Address - Country:US
Mailing Address - Phone:863-385-2606
Mailing Address - Fax:
Practice Address - Street 1:4325 SUN N LAKE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2171
Practice Address - Country:US
Practice Address - Phone:863-382-1663
Practice Address - Fax:863-386-0162
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9368231163WG0600X
FLAPRN11022639363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0600XNursing Service ProvidersRegistered NurseGerontology