Provider Demographics
NPI:1992594949
Name:GAY, TITUS CARTIER
Entity type:Individual
Prefix:
First Name:TITUS
Middle Name:CARTIER
Last Name:GAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W OAK ST STE 220
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-3955
Mailing Address - Country:US
Mailing Address - Phone:863-359-3126
Mailing Address - Fax:
Practice Address - Street 1:107 W OAK ST STE 220
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-3955
Practice Address - Country:US
Practice Address - Phone:863-359-3126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No171W00000XOther Service ProvidersContractor
No332900000XSuppliersNon-Pharmacy Dispensing Site
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant