MEDICARE: STELLA TALKIE

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	171400000X	Health & Wellness Coach	19626	FL

General Provider Information

NPI Number	:	1568356194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA TALKIE

Provider Business Mailing Address
First Line	:	4527 W AZEELE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2553
Country	:	US
Telephone Number	:	203-414-6764
Fax Number	:

Provider Business Practice Location Address
First Line	:	4527 W AZEELE ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2553
Country	:	US
Telephone Number	:	203-414-6764
Fax Number	:

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

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	06/06/2025

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Directions to “ STELLA TALKIE ” Practice Location

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