Provider Demographics
NPI:1700621695
Name:MCROY, AKEVIA S
Entity type:Individual
Prefix:
First Name:AKEVIA
Middle Name:S
Last Name:MCROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7125
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33673-7125
Mailing Address - Country:US
Mailing Address - Phone:813-453-6980
Mailing Address - Fax:
Practice Address - Street 1:601 N LOIS AVE STE 88
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2216
Practice Address - Country:US
Practice Address - Phone:813-822-8853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL240104251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health