Individual
CHARLOTTE EUNICE FLUDD-ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11814 SWEETPEA CT, TAMPA, FL 33635-6224
(813) 765-5418
(813) 855-5725
Mailing address
11814 SWEETPEA CT, TAMPA, FL 33635-6224
(813) 765-5418
(813) 855-5725
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225479
CI# / INTERNATIONAL FITNESS ASSOCIATION
FL
Enumeration date
07/16/2009
Last updated
07/16/2009
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