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LETARA REYONA MACK
NPI 1871008094
Specialist - Prosthetics Case Management in Jacksonville, FL

Active since December 11, 2017
1745 WHITMAN ST, JACKSONVILLE, FL 32210(904) 424-8590 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Letara Reyona Mack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETARA REYONA MACK (NPI 1871008094) is an individual prosthetics case management provider in Jacksonville, Florida and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1871008094
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameLETARA REYONA MACK
Location Address1745 WHITMAN STJacksonville, FL 32210-1237
Mailing Address1745 Whitman StJacksonville, FL 32210-1237 · (904) 424-8590
Phone(904) 424-8590
Sole ProprietorYes
Enumeration DateDecember 11, 2017
✔ NPI 1871008094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
1745 WHITMAN ST, Jacksonville, FL 32210
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Other Names 1

Other Name (5)Reyona Stiles

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Letara Mack's NPI number?

The NPI number for Letara Mack is 1871008094. It was assigned to this individual provider in the NPPES registry on December 11, 2017. The provider is also known as Reyona Stiles.

Where is Letara Mack located?

Letara Mack practices at 1745 Whitman St, Jacksonville, FL 32210. The listed phone number is (904) 424-8590.

What is Letara Mack's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Letara Mack was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.