Individual
CHA QUANDA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2619 SHILO CT, VALRICO, FL 33596-6322
(813) 508-3197
Mailing address
2619 SHILO CT, VALRICO, FL 33596-6322
(813) 508-3197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9332138
FL
Other
Enumeration date
05/08/2023
Last updated
02/13/2026
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