Healthcare Provider Details

I. General information

NPI: 1497675888
Provider Name (Legal Business Name): TAMIA TRIPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AKASHA DOTSON

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 NW 135TH WAY
PLANTATION FL
33325-7699
US

IV. Provider business mailing address

106 NW 135TH WAY
PLANTATION FL
33325-7699
US

V. Phone/Fax

Practice location:
  • Phone: 410-598-9141
  • Fax:
Mailing address:
  • Phone: 410-598-9141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: