Healthcare Provider Details

I. General information

NPI: 1508371915
Provider Name (Legal Business Name): AWURA AFRAKUMAH APPAWU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 87TH TER N
PINELLAS PARK FL
33782-5136
US

IV. Provider business mailing address

1106 SOUTH MISSOURI AVENUE CLEARWATER APT 104 BD 4
PINELLAS FL
33764-6402
US

V. Phone/Fax

Practice location:
  • Phone: 727-666-3217
  • Fax:
Mailing address:
  • Phone: 727-331-9824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: