Provider Demographics
NPI:1689319071
Name:SMITH, TARSHA N
Entity Type:Individual
Prefix:MISS
First Name:TARSHA
Middle Name:N
Last Name:SMITH
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 1:3415 CARIOCA CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-1659
Mailing Address - Country:US
Mailing Address - Phone:678-315-9495
Mailing Address - Fax:
Practice Address - Street 1:3415 CARIOCA CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33605-1659
Practice Address - Country:US
Practice Address - Phone:678-315-9495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238505372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88-0626600OtherDEVELOPMENTALLY DISABLED HOMEMAKER AND COMPANION SERVICE