Individual
MS. TAMIKA L GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4126 CUMMINGS ST, ORLANDO, FL 32828-4888
(407) 730-0795
Mailing address
4126 CUMMINGS ST, ORLANDO, FL 32828-4888
(407) 730-0795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9359916
FL
163WC0400X
Case Management Registered Nurse
RN9359916
FL
163WC1500X
Community Health Registered Nurse
RN9359916
FL
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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