Healthcare Provider Details
I. General information
NPI: 1114186954
Provider Name (Legal Business Name): EMPERATRIZ BUEHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/06/2008
Last Update Date: 05/14/2024
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8802 ROCKSHIRE CT
TAMPA FL
33634-1115
US
IV. Provider business mailing address
6010 HANLEY RD
TAMPA FL
33634-4914
US
V. Phone/Fax
- Phone: 813-486-6745
- Fax:
- Phone: 813-260-4938
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: