Individual
MS. TAHNITA FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 BURPEE DR W, JACKSONVILLE, FL 32210-3739
(904) 414-1211
(866) 952-0945
Mailing address
2304 BURPEE DR W, JACKSONVILLE, FL 32210-3739
(904) 450-2414
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
FL
251C00000X
Developmentally Disabled Services Day Training Agency
—
FL
253Z00000X
In Home Supportive Care Agency
—
FL
343900000X
Non-emergency Medical Transport (VAN)
—
FL
347C00000X
Private Vehicle
—
FL
372500000X
Chore Provider
—
FL
372600000X
Adult Companion
—
FL
3747A0650X
Attendant Care Provider
Primary
—
FL
3747P1801X
Personal Care Attendant
—
FL
374U00000X
Home Health Aide
—
FL
376J00000X
Homemaker
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024592000
—
FL
Enumeration date
08/28/2016
Last updated
10/10/2024
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