What is Deaisa Bomort's NPI number?

Deaisa Bomort's National Provider Identifier (NPI) is 1558035717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Deaisa Bomort's specialty?

Deaisa Bomort is listed in the NPPES registry with a primary specialty of Driver (Other Service Providers).

Where is Deaisa Bomort located?

Deaisa Bomort's practice location on file with NPPES is 1836 N Crystal Lake Dr, Lakeland, FL 33801-6576.

What is Deaisa Bomort's phone number?

The practice phone number listed in the NPPES registry for Deaisa Bomort is (863) 738-9493.

Is Deaisa Bomort's NPI active?

Yes — Deaisa Bomort's NPI (1558035717) is active in the NPPES registry as of the last update on 2021-08-02.

IndividualActive

Deaisa Bomort

NPI 1558035717 · Driver · Lakeland, FL

Deaisa Bomort is a Driver provider in Lakeland, FL (NPI 1558035717).

Provider details

NPI number: 1558035717
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: Yes
License: B563179949530 (FL)

Specialties & taxonomies

DriverPrimary172A00000XLicense B563179949530 (FL)
Other Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 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

1836 N Crystal Lake Dr

Lakeland, FL 33801-6576

Phone: (863) 738-9493

Street-level locationGet directions

More FL providers

Mailing address