Provider Demographics
NPI:1467234823
Name:TURNBULL, LATISHA DEHSHAWN
Entity Type:Individual
Prefix:
First Name:LATISHA
Middle Name:DEHSHAWN
Last Name:TURNBULL
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 1:3108 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-1537
Mailing Address - Country:US
Mailing Address - Phone:813-454-6541
Mailing Address - Fax:
Practice Address - Street 1:3108 E ELM ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-1537
Practice Address - Country:US
Practice Address - Phone:813-454-6541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver