IMANI TATE
NPI 1740098490
Prosthetic/Orthotic Supplier in Tampa, FL

Active since December 27, 2024
14501 AUDUBON TRCE, TAMPA, FL 33613(813) 586-0562 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Prosthetic/Orthotic Supplier

About IMANI TATE

This page provides the complete NPI Profile along with additional information for Imani Tate, a provider established in Tampa, Florida with a medical specialization in Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1740098490 assigned on December 2024. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1740098490 Verify this NPI
Provider Name
IMANI TATE
Gender
Female
Entity Type
Individual
Location Address
14501 AUDUBON TRCE TAMPA, FL 33613
Location Phone
(813) 586-0562
Mailing Address
19046 BRUCE B DOWNS BLVD STE B6 TAMPA, FL 33647
Mailing Phone
(813) 586-0562
Is Sole Proprietor?
Yes
Enumeration Date
12-27-2024
Last Update Date
12-27-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740098490, enumerated as an "individual" on December 27, 2024.

The provider is located at 14501 AUDUBON TRCE TAMPA, FL 33613 and the phone number is (813) 586-0562.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.