Healthcare Provider Details

I. General information

NPI: 1922928134
Provider Name (Legal Business Name): KAYLA CELEST BRIANNA TRUAX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1227 SW 17TH AVE
OCALA FL
34471-0536
US

IV. Provider business mailing address

406 TROPIC CIR
FRUITLAND PARK FL
34731-4310
US

V. Phone/Fax

Practice location:
  • Phone: 352-629-1941
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: