Individual
MR. TENNYSON MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1310 S PARK AVE, SANFORD, FL 32771-3464
(407) 322-4317
Mailing address
PO BOX 523, SANFORD, FL 32772-0523
(407) 322-4317
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
RN 2693462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141377500
—
FL
Enumeration date
11/24/2014
Last updated
11/24/2014
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