Litha Antoine
Individual provider Active NPI Nurse's Aide · Palm Coast, FL
NPI 1215307889 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1215307889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 6906776 (FL)
- Practice address
- 47 Pickering Dr
Palm Coast, FL 32164-7080 - Phone
- (386) 864-0707
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906776 | FL | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 6906776 | FL | Yes |
Addresses
Primary practice location
47 Pickering Dr
Palm Coast, FL 32164-7080
Mailing address
47 Pickering Dr
Palm Coast, FL 32164-7080
Phone (386) 864-0707
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.