MEDICARE: MS. TAMIKA E JONES MS.ED

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	222Q00000X	Developmental Therapist		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053400929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMIKA E JONES MS.ED

Provider Business Mailing Address
First Line	:	50 NE 128TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4512
Country	:	US
Telephone Number	:	786-201-7051
Fax Number	:	786-239-6010

Provider Business Practice Location Address
First Line	:	50 NE 128TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-4512
Country	:	US
Telephone Number	:	786-201-7051
Fax Number	:	786-329-6010

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	02/27/2022

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