Provider Demographics
NPI:1740744051
Name:AKINS, CHARMIAN
Entity type:Individual
Prefix:
First Name:CHARMIAN
Middle Name:
Last Name:AKINS
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 1:1715 NE 8TH AVE APT I4
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32641-4765
Mailing Address - Country:US
Mailing Address - Phone:352-363-4592
Mailing Address - Fax:
Practice Address - Street 1:1715 NE 8TH AVE APT I4
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32641-4765
Practice Address - Country:US
Practice Address - Phone:352-363-4592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services