Individual provider · Type 1 NPI

Breonna Amya Racoma

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1083562235 Active

Practice location

4401 N Himes Ave Ste 175
Tampa, FL 33614-7095

Call (813) 393-3800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083562235

Breonna Amya Racoma's National Provider Identifier is 1083562235, issued on Mar 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Mar 20, 2026.