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NPI Code Detail

MEDICARE: DIVINE INSPIRATION LLC

MEDICARE: DIVINE INSPIRATION LLC
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
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1063370401
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVINE INSPIRATION LLC
Provider Business Mailing Address
First Line : PO BOX 310623
Second Line :
City : TAMPA
State : FL
Zip : 33680-0623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4207 E IDLEWILD AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-2528
Country : US
Telephone Number : 813-335-4407
Fax Number : 813-570-6643
Authorized Official
Title or Position : OWNER/OPERATOR
Name : MONIKA CHUKES
Credential :
Telephone Number : 813-335-4407
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “DIVINE INSPIRATION LLC ” Practice Location

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