MEDICARE: MRS. TAMICA D RHODES CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	APRN11034328	FL

General Provider Information

NPI Number	:	1235855685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TAMICA D RHODES CNM

Provider Business Mailing Address
First Line	:	1900 E BAY DR
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-2218
Country	:	US
Telephone Number	:	727-401-3456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 MEDICAL CENTER DR STE 102
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8225
Country	:	US
Telephone Number	:	386-456-3852
Fax Number	:	833-972-5940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2022
Last Update Date	:	04/09/2026

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