Provider Demographics
NPI:1053822460
Name:NEAL, NAKITE DANIELLE (LPN)
Entity Type:Individual
Prefix:MS
First Name:NAKITE
Middle Name:DANIELLE
Last Name:NEAL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 E US HIGHWAY 92
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-5930
Mailing Address - Country:US
Mailing Address - Phone:813-399-5117
Mailing Address - Fax:
Practice Address - Street 1:9740 E US HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-5930
Practice Address - Country:US
Practice Address - Phone:813-399-5117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle