Basic Information
| Provider Information | |||||||||
| NPI: | 1518990662 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AUDIA | ||||||||
| FirstName: | RHONDA | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7320 E FLETCHER AVE | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336370916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8137514778 | ||||||||
| FaxNumber: | 8134906226 | ||||||||
| Practice Location | |||||||||
| Address1: | 4726 N HABANA AVE | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336147144 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138727582 | ||||||||
| FaxNumber: | 8138739591 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 10/10/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | SW 10850 | FL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.