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NPI Code Detail

MEDICARE: LATTORIA MARYLEE HIGHTOWER

MEDICARE: LATTORIA MARYLEE HIGHTOWER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care ProviderFL

General Provider Information

NPI Number : 1053252791
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATTORIA MARYLEE HIGHTOWER
Provider Business Mailing Address
First Line : 106 W JERSEY AVE
Second Line :
City : BRANDON
State : FL
Zip : 33510-3130
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 W JERSEY AVE
Second Line :
City : BRANDON
State : FL
Zip : 33510-3130
Country : US
Telephone Number : 904-910-5303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ LATTORIA MARYLEE HIGHTOWER ” Practice Location

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