Healthcare Provider Details

I. General information

NPI: 1235052648
Provider Name (Legal Business Name): TAMIA SHAREE MCGANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TOYA SHERONE HARRELL

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 W COLONIAL DRIVE SUITE 10
ORLANDO FL
32805
US

IV. Provider business mailing address

1099 W COLONIAL DRIVE STE 10
ORLANDO FL
32805
US

V. Phone/Fax

Practice location:
  • Phone: 407-325-6436
  • Fax:
Mailing address:
  • Phone: 407-325-6436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: