LETARA REYONA MACK (NPI# 1871008094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871008094 |
| Entity Type | Individual |
| Full Name | LETARA REYONA MACK |
| Other Name | REYONA STILES |
| Practice Address |
1745 Whitman St Jacksonville FL 32210-1237 |
| Practice Telephone | 9044248590 |
| Mailing Telephone | 9044248590 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
1745 WHITMAN ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
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| 1033683552 | Carlise Yvette Charlot | Specialist | 1289 Windy Willows Dr, Jacksonville, FL 32225-5957 | 2019-01-17 |
| 1770086118 | Schquanda Sade Terry | Specialist | 12559 Fallohide Ln, Jacksonville, FL 32225-3457 | 2018-03-12 |
| 1689183089 | Latoyal Taneka Williams | Specialist | 2320 Edgewood Ave W, Jacksonville, FL 32209-2453 | 2017-09-28 |
| 1770002081 | Dionne Morris | Specialist | 1914 Art Museum Dr Ste C, Jacksonville, FL 32207-2585 | 2017-09-18 |
| 1174028229 | Lyla Terry Salon | Specialist | 12559 Fallohide Ln, Jacksonville, FL 32225-3457 | 2018-03-29 |
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| 1285262352 | Narotique Beauty Bar | Specialist | 20401 Nw 2nd Ave Ste 208, Miami, FL 33169-2572 | 2020-04-01 |
| 1710526892 | Tavia Sevon Richards | Specialist | 12414 Touchton Dr Apt 95, Tampa, FL 33617-1544 | 2020-01-06 |
| 1427696905 | Vanessa Lisa Gaspard | Specialist | 355 Ne 159th St, Miami, FL 33162-5007 | 2019-12-16 |
| 1720622798 | Cesar A Brito | Specialist | 744 W Brandon Blvd, Brandon, FL 33511-4902 | 2019-11-03 |
| 1316598303 | Rashawnda Thomas | Specialist | 4110 Sw 34th St Ste 22, Gainesville, FL 32608-6529 | 2019-09-22 |
| 1891352795 | Calandra Sands | Specialist | 801 S Dixie Hwy W Ste 5, Pompano Beach, FL 33060-8263 | 2019-05-26 |
| 1265990865 | Ashley Simone Kitchens | Specialist | 1418 E Busch Blvd, Tampa, FL 33612-8656 | 2019-03-04 |
| 1457819070 | Aramis Tylise Hamilton | Specialist | 1514 S Alexander St Ste 207, Plant City, FL 33563-8418 | 2019-03-04 |
| 1356805642 | Olajide A Wilkerson | Specialist | 540 Nw 165th Street Rd Ste 109, Miami, FL 33169-6304 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.