Provider Demographics
NPI:1053820266
Name:POLITE, TAMEKA FLOWERS (APRN)
Entity Type:Individual
Prefix:MRS
First Name:TAMEKA
Middle Name:FLOWERS
Last Name:POLITE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TAMEKA
Other - Middle Name:NICOLE
Other - Last Name:FLOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12360 66TH ST STE M
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-3434
Mailing Address - Country:US
Mailing Address - Phone:813-309-0363
Mailing Address - Fax:
Practice Address - Street 1:12360 66TH ST STE M
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-3434
Practice Address - Country:US
Practice Address - Phone:813-309-0363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9394765363LF0000X
FLARNP9394765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily