Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEAISA ZHANE BOMORT
Active Sole ProprietorDEAISA ZHANE BOMORT is a Driver healthcare provider located in LAKELAND, Florida. NPI 1558035717 is currently active in the NPPES registry. Verify at CMS.
Driver · LAKELAND, FL
Registration Details
- NPI Number
- 1558035717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2021 (5.0054796517567 yrs)
- Last Updated
- Aug 2, 2021
- License
-
B563179949530 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1836 N CRYSTAL LAKE DRLAKELAND, FL, 338016576Browse FL providers · Browse ZIP 33801
- Phone
- 8637389493
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| GREGORY CLARK | — | 1760991012 |
| MONICA SMITH | — | 1720632896 |
| AMANDA RICHARDS | — | 1023614195 |
| MICHELLE DENISE SCOTT | — | 1598455594 |
| FELICIA JORDAN | — | 1184493629 |
| MR. RODNEY W STREET SR. | — | 1669238341 |
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.