Tamara Grigaltchik

NPI 1265762017 - Military Health Care Provider - 171000000X

NPI Details
NPI 1265762017
Gender Female
Enumeration Date 12/29/2009
Last Updated 12/29/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
12105 MADRID AVE
NORTH PORT FL, 34287-1123, US
Phone (941) 423-0019
Fax (941) 423-0019
Business Location
12105 MADRID AVE
NORTH PORT FL, 34287-1123, US
Phone (941) 423-0019
Fax (941) 423-0019
Toxanomy
Taxonomy Code 171000000X
License State Florida
License Number 6906380
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According to our database, Mrs. Tamara Grigaltchik NPI is 1265762017, taxonomy code is 171000000X and license number is 6906380, license state is located at Florida. Tamara Grigaltchik physically located at 12105 Madrid Ave, North Port FL, 34287-1123. NPI Number Tamara Grigaltchik has the Individual type.

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1265762017 NPI number is provided on an as is basis without warranty of any kind. 1265762017 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Grigaltchik are for informational purposes only.