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NPI Code Detail

MEDICARE: SHANITA S HOWARD

MEDICARE:   SHANITA S HOWARD
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1891328985
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANITA S HOWARD
Provider Business Mailing Address
First Line : 1427 SHERIDAN ST SW
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-2749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1427 SHERIDAN ST SW
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-2749
Country : US
Telephone Number : 863-934-3814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2020
Last Update Date : 02/17/2020

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Directions to “ SHANITA S HOWARD ” Practice Location

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