Individual
KRISTA SPEECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2622 DIPLOMAT DR, MELBOURNE, FL 32901-6804
(321) 745-9727
Mailing address
2622 DIPLOMAT DR, MELBOURNE, FL 32901-6804
(321) 745-9727
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022122700
—
FL
Enumeration date
01/29/2019
Last updated
01/29/2019
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