Healthcare Provider Details

I. General information

NPI: 1154253680
Provider Name (Legal Business Name): MRS. CARMENCITA TELOREN TRASMONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2960 TAMPA RD
PALM HARBOR FL
34684-3340
US

IV. Provider business mailing address

7521 DUNBRIDGE DR
ODESSA FL
33556-2271
US

V. Phone/Fax

Practice location:
  • Phone: 727-619-1896
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: