Charra Vanae Taylor
Individual provider Active NPI Developmental Disabilities Clinic/Center · Pahokee, FL
NPI 1215468558 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1215468558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Practice address
- 8888 Seville St
Pahokee, FL 33476-1609 - Phone
- (352) 396-4325
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridging Waters Together - the Academy for Unique Creatives, Inc | Developmental Disabilities | Current | Accepting new patients |
| Bridging Waters Together, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes |
Addresses
Primary practice location
8888 Seville St
Pahokee, FL 33476-1609
Mailing address
8888 Seville St
Pahokee, FL 33476-1609
Phone (352) 396-4325
Other providers in Pahokee, FL
- Shekinah Family Medical Centers LLC
- Tevonsheye Sims
- Small Steps Big Smiles Early Interventions Services Corp
- South Florida Medical Professionals LLC
- Marshae Stallworth
- Wellness Transportation LLC
- Philnecia Brenjae Whitfield
- Alkeria Dejanae Wimberly
All providers in Pahokee, FL · Developmental Disabilities Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. 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.