TINA MARIE FLANNERY
NPI 1760332605
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fruitland Park, FL
- Individual
- Female
- Community Based Residential Treatment Fa...
About TINA FLANNERY
This page provides the complete NPI Profile along with additional information for Tina Flannery, a provider established in Fruitland Park, Florida with a medical specialization in Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1760332605 assigned on January 2026. The practitioner's primary taxonomy code is 320900000X with license number 13002335A (FL). The provider is registered as an individual and her NPI record was last updated February 2026.
- NPI
- 1760332605 Verify this NPI
- Provider Name
- TINA MARIE FLANNERY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5345 TWIN PALMS RD FRUITLAND PARK, FL 34731
- Location Phone
- (352) 460-7009
- Location Fax
- (352) 504-0233
- Mailing Address
- 1310 W NORTH BLVD STE 2 LEESBURG, FL 34748
- Mailing Phone
- (352) 460-7009
- Mailing Fax
- (352) 460-7009
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2026
- Last Update Date
- 02-02-2026
- Code Navigator
Location Map
Secondary Locations
- 603 Newell Hill Rd Fl USA
Leesburg, FL 34748
(352) 460-7009 - 405 Oakwood Ln
Fruitland Park, FL 34731
(352) 460-7009 - 5151 Twin Palms Rd
Fruitland Park, FL 34731
(352) 460-7009 - 218 W Dade Ave
Bushnell, FL 33513
(352) 460-7009 - 1050 SW 66th Pl
Bushnell, FL 33513
(352) 460-7009
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 13002335A
- License State
- FL
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 13002472 (FL) |
| 2 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 13002433 (FL) |
| 3 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 13002471 (FL) |
| 4 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 13002375A (FL) |
| 5 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 13002179A (FL) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FRUITLAND PARK, FL 34731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760332605, enumerated as an "individual" on January 30, 2026.
The provider is located at 5345 TWIN PALMS RD FRUITLAND PARK, FL 34731 and the phone number is (352) 460-7009.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
