Healthcare Provider Details

I. General information

NPI: 1922922004
Provider Name (Legal Business Name): NURTURED STRANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16350 BRUCE B DOWNS BLVD UNIT 46223
TAMPA FL
33646-9010
US

IV. Provider business mailing address

16350 BRUCE B DOWNS BLVD UNIT 46223
TAMPA FL
33646-9010
US

V. Phone/Fax

Practice location:
  • Phone: 813-575-0752
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DIANTHA ROBERTSON
Title or Position: PRESIDENT
Credential:
Phone: 813-575-0752