MRS. TRACENA ANNETTE STUDMIRE


Address: 351 Delancey Dr, Davenport, FL 33837-7644
Phone: 3216826819

MRS. TRACENA ANNETTE STUDMIRE (NPI# 1932514254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932514254
Entity Type Individual
Full Name MRS. TRACENA ANNETTE STUDMIRE
Credential HOME HEALTH
Practice Address 351 Delancey Dr
Davenport
FL 33837-7644
Mailing Address 12513 Wisconsin Woods Ln
Orlando
FL 32824-9022
Practice Telephone 3216826819
Practice Fax Number 4078709605
Mailing Telephone 3216826819
Enumeration Date 2014-06-25
Last Update Date 2015-10-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0700X Psychologist
Specialization: Adult Development & Aging
005538400 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 005538400 05

Office Location

Street Address 351 DELANCEY DR
City DAVENPORT
State FL
Zip Code 33837-7644

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1366937146 Sheetal Kirat Parikh Dietitian, Registered 40100 Us Highway 27, Davenport, FL 33837 2018-06-25
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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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1932656899 Pooja Shastri Psychologist 13430 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1812 2016-09-07
1932566882 Comprehensive Neurobehavioral Services, P.a. Psychologist 2142 Alt 19, Ste C1, Palm Harbor, FL 34683-5361 2016-01-23
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1104268952 Calvin Hall Jr. Psychologist 3101 Rackley Dr, Tallahassee, FL 32305-6737 2013-07-22
1720339377 Ricardo L. Zamora Psychologist 3050 Nw 32nd St, Miami, FL 33142-5857 2012-09-23
1770816290 Miracle Health Services Inc Psychologist 8660 W Flagler St Ste 214, Miami, FL 33144-2061 2009-09-16
1912155144 Brad Stephen Broeder Psychologist 1266 First Street, Suite #11, Sarasota, FL 34236-5519 2008-08-29
1912179656 Ana-lilia Smith Psychologist 1501 Venera Ave Ste 225, Coral Gables, FL 33146-3032 2008-04-01
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Competitor

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City DAVENPORT
Zip Code 33837

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Dataset Information

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.

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