Individual
MRS. ANTONIETTE LATASHA RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 W LAUREL ST STE 100, TAMPA, FL 33607-3896
(813) 521-0581
Mailing address
5005 W LAUREL ST STE 100, TAMPA, FL 33607-3896
(813) 521-0581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 14709
FL
101YM0800X
Mental Health Counselor
Primary
MH16170
FL
164W00000X
Licensed Practical Nurse
PN 5198859
FL
Other
Enumeration date
08/23/2016
Last updated
01/12/2026
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