Provider Demographics
NPI:1043817539
Name:ALGERE, ADREAION S
Entity Type:Individual
Prefix:
First Name:ADREAION
Middle Name:S
Last Name:ALGERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7143 STATE ROAD 54 APT 161
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6104
Mailing Address - Country:US
Mailing Address - Phone:813-650-4799
Mailing Address - Fax:
Practice Address - Street 1:8304 N HILLSBOROUGH LN
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-3531
Practice Address - Country:US
Practice Address - Phone:813-650-4799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL280.000073251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health