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Individual

LATASHA SPIVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1446 OVERLOOK TER, TITUSVILLE, FL 32780-4336
(321) 291-3722
Mailing address
6142 WATERLOO AVE, COCOA, FL 32927-8244
(321) 302-3613
(321) 302-3613

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FL

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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