MEDICARE: DANISHIA PUZIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	385H00000X	Respite Care
2	376J00000X	Homemaker	FL
3	372600000X	Adult Companion	FL

General Provider Information

NPI Number	:	1972373553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANISHIA PUZIE

Provider Business Mailing Address
First Line	:	298 FOREMOST AVE NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2839
Country	:	US
Telephone Number	:	321-442-5312
Fax Number	:

Provider Business Practice Location Address
First Line	:	298 FOREMOST AVE NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2839
Country	:	US
Telephone Number	:	904-994-7041
Fax Number	:

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

Provider Enumeration Date	:	01/04/2024
Last Update Date	:	05/13/2024

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Directions to “ DANISHIA PUZIE ” Practice Location

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