Healthcare Provider Details

I. General information

NPI: 1235029711
Provider Name (Legal Business Name): KIARA LEE FSD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BRUCE B DOWNS BLVD
WESLEY CHAPEL FL
33544-9207
US

IV. Provider business mailing address

35743 HILLBROOK AVE
ZEPHYRHILLS FL
33541-2515
US

V. Phone/Fax

Practice location:
  • Phone: 813-929-5000
  • Fax:
Mailing address:
  • Phone: 656-226-1239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberTDUK09128625
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: