MEDICARE: MS. SAVONIA LATICE RICE PHLEBOTOMIST

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
1	246RP1900X	Phlebotomy Technician		FL

General Provider Information

NPI Number	:	1053267674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAVONIA LATICE RICE PHLEBOTOMIST

Provider Business Mailing Address
First Line	:	6394 PINESTEAD DR
Second Line	:	APT #1724
City	:	LAKE WORTH
State	:	FL
Zip	:	33463
Country	:	US
Telephone Number	:	813-842-9811
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 LAKE WORTH RD. UNIT 6662
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461
Country	:	US
Telephone Number	:	813-904-2763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	05/26/2026

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