Provider Demographics
NPI:1093223380
Name:COMMINGS, DNEKQUIA
Entity Type:Individual
Prefix:
First Name:DNEKQUIA
Middle Name:
Last Name:COMMINGS
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 1:225 SOUTH TROPICAL TRAIL
Mailing Address - Street 2:619
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32952
Mailing Address - Country:US
Mailing Address - Phone:321-313-9861
Mailing Address - Fax:321-806-3197
Practice Address - Street 1:225 SOUTH TROPICAL TRAIL
Practice Address - Street 2:619
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952
Practice Address - Country:US
Practice Address - Phone:321-313-9861
Practice Address - Fax:321-806-3197
Is Sole Proprietor?:No
Enumeration Date:2018-01-20
Last Update Date:2018-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant