Individual
LATONIA BOYKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 CAMPUS HILL DR, TAMPA, FL 33612-4722
(813) 494-7116
Mailing address
13444 CANOPY CREEK DR, TAMPA, FL 33625-5916
(813) 494-7116
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
171241205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171241205
—
FL
Enumeration date
05/15/2019
Last updated
05/15/2019
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