Individual
TASHA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7206 NW 64TH ST, TAMARAC, FL 33321-5551
(954) 305-0671
Mailing address
7206 NW 64TH ST, TAMARAC, FL 33321-5551
(954) 305-0671
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
FL
177F00000X
Lodging Provider
—
FL
311ZA0620X
Adult Care Home Facility
—
FL
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
FL
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
FL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
FL
320700000X
Physical Disabilities Residential Treatment Facility
—
FL
347C00000X
Private Vehicle
—
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
FL
385HR2065X
Child Physical Disabilities Respite Care
—
FL
Other
Enumeration date
09/12/2025
Last updated
10/24/2025
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