Individual
NEFERTITI TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIRECTOR
Contact information
Practice address
945 25TH DR E STE 1, ELLENTON, FL 34222-2054
(941) 981-5342
(941) 981-5351
Mailing address
945 25TH DR E STE 1, ELLENTON, FL 34222-2054
(941) 981-5342
(941) 981-5351
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
Primary
233808
FL
376J00000X
Homemaker
233808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233808
STATE LICENSE
FL
01
—
233951
STATE LICENSE
FL
Enumeration date
02/09/2015
Last updated
06/10/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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