Individual
NANCY MCINTOSH PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5485 TABB AVE, SPRING HILL, FL 34609-1307
(813) 210-6834
(866) 211-6694
Mailing address
5485 TABB AVE, SPRING HILL, FL 34609-1307
(813) 210-6834
(866) 211-6694
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
FL
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692350096
—
FL
Enumeration date
03/18/2022
Last updated
03/28/2022
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