IndividualActive
Laiza Souza Tanner
NPI 1255952636 · Technician · Orlando, FL
Provider details
- NPI number
- 1255952636
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
500 E Rollins St
Orlando, FL 32803
Phone: (855) 724-5411
Approximate (ZIP-level) locationGet directions
Mailing address
140 Mandolin Dr
Winter Haven, FL 33884-3580
Registry dates
- Enumerated
- 2020-04-27
- Last updated
- 2020-04-27
- Certified
- 2020-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.