Frederick S Tackey MD

NPI 1689743445 - Internal Medicine - 207R00000X

NPI Details
NPI 1689743445
Gender Male
Enumeration Date 11/07/2006
Last Updated 09/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2300 SOUTH CONGRESS AVENUE #101
BOYNTON BEACH FL, 33426, US
Phone (561) 374-8919
Fax (561) 374-8911
Business Location
PO BOX 550
BOYNTON BEACH FL, 33425-0550, US
Phone (561) 374-8919
Fax (561) 374-8911
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number 0068055
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According to our database, Frederick S Tackey MD NPI is 1689743445, taxonomy code is 207R00000X and license number is 0068055, license state is located at Florida. Frederick S Tackey MD physically located at 2300 South Congress Avenue #101, Boynton Beach FL, 33426. NPI Number Frederick S Tackey MD has the Individual type.

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1689743445 NPI number is provided on an as is basis without warranty of any kind. 1689743445 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick S Tackey MD are for informational purposes only.