Healthcare Provider Details

I. General information

NPI: 1629973888
Provider Name (Legal Business Name): TASHIKA GAITHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

6070 46TH LN
VERO BEACH FL
32967-6166
US

IV. Provider business mailing address

6070 46TH LN
VERO BEACH FL
32967-6166
US

V. Phone/Fax

Practice location:
  • Phone: 772-217-9119
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberPN5225032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: