OrganizationActive
Tia Dwana Collection LLC
NPI 1538756630 · Prosthetic/Orthotic Supplier · Jacksonville, FL
Tia Dwana Collection LLC is a Prosthetic/Orthotic Supplier organization in Jacksonville, FL (NPI 1538756630).
Provider details
- NPI number
- 1538756630
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Timothea Whitehurst, Owner(904) 532-3475
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7643 Gate Pkwy Ste 104-333
Jacksonville, FL 32256-2893
Phone: (904) 532-3475
Fax: (904) 977-8900
Street-level locationGet directions
Mailing address
7643 Gate Pkwy Ste 104-333
Jacksonville, FL 32256-2893
Registry dates
- Enumerated
- 2020-12-23
- Last updated
- 2021-01-18
- Certified
- 2021-01-18
Frequently asked questions
- What is Tia Dwana Collection LLC's NPI number?
- Tia Dwana Collection LLC's National Provider Identifier (NPI) is 1538756630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tia Dwana Collection LLC?
- Tia Dwana Collection LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Tia Dwana Collection LLC located?
- Tia Dwana Collection LLC's practice location on file with NPPES is 7643 Gate Pkwy Ste 104-333, Jacksonville, FL 32256-2893.
- What is Tia Dwana Collection LLC's phone number?
- The practice phone number listed in the NPPES registry for Tia Dwana Collection LLC is (904) 532-3475.
- Who is the authorized official for Tia Dwana Collection LLC?
- The authorized official listed on Tia Dwana Collection LLC's NPPES record is Timothea Whitehurst, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tia Dwana Collection LLC's NPI active?
- Yes — Tia Dwana Collection LLC's NPI (1538756630) is active in the NPPES registry as of the last update on 2021-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.