Individual
MACI DOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 E FOWLER AVE, TAMPA, FL 33620-8000
(813) 974-2011
Mailing address
2321 SPARKLEBERRY CT, SPRING HILL, FL 34608-4988
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us