Individual
MS. ASHANTI S BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13442 LINDEN DR, SPRING HILL, FL 34609-4059
(352) 606-3539
Mailing address
13442 LINDEN DR, SPRING HILL, FL 34609-4059
(352) 606-3539
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13002356A
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014247200
—
FL
Enumeration date
02/10/2022
Last updated
02/10/2022
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