Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHACOYA MONTGOMERY
Active Sole ProprietorSHACOYA MONTGOMERY is a Developmental Disabilities Clinic healthcare provider located in LAKELAND, Florida. NPI 1316416381 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · LAKELAND, FL
Registration Details
- NPI Number
- 1316416381
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2018 (7.7197262686573 yrs)
- Last Updated
- Nov 19, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
3909 SANDHILL CRANE DRLAKELAND, FL, 338111862Browse FL providers · Browse ZIP 33811
- Phone
- 8636175840
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| LYNN TATYANA JOSEPH | RN | 1235650029 |
| MRS. MELINDA CATHERINE JOHNSON | — | 1952817850 |
| DANE ANTHONY JONES | — | 1629577382 |
| SANDRENE SMART | — | 1306323340 |
| RAQUELITA DEJESUS | CNA | 1184264574 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.