Provider Demographics
NPI:1376028241
Name:FLEITES, AYLICEC (HHA)
Entity Type:Individual
Prefix:
First Name:AYLICEC
Middle Name:
Last Name:FLEITES
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5045 ELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-3014
Mailing Address - Country:US
Mailing Address - Phone:813-410-2270
Mailing Address - Fax:
Practice Address - Street 1:5045 ELWOOD RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-3014
Practice Address - Country:US
Practice Address - Phone:813-410-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide