Healthcare Provider Details
I. General information
NPI: 1467338871
Provider Name (Legal Business Name): NEXT LEVEL CARE CIRCLE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11517 PALMETTO PINE ST
RIVERVIEW FL
33569-6229
US
IV. Provider business mailing address
5005 W LAUREL ST STE 10020546
TAMPA FL
33607-3886
US
V. Phone/Fax
- Phone: 888-255-0813
- Fax:
- Phone: 888-255-0813
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TANTANISHA
MITCHELL
Title or Position: FOUNDER AND DIRECTOR
Credential: RN
Phone: 888-255-0813