Tara Connor Do Pa

NPI 1245432111 - Family Medicine - 207Q00000X

NPI Details
NPI 1245432111
Enumeration Date 06/04/2007
Last Updated 02/28/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TARA TARA
Position PRESIDENT PHYSICIAN
Phone (352) 344-3777
Fax (352) 344-2546
Practice Location
2401 FOREST DR
INVERNESS FL, 34453-3720, US
Phone (352) 344-3777
Fax (352) 344-2546
Business Location
2401 FOREST DR
INVERNESS FL, 34453-3720, US
Phone (352) 344-3777
Fax (352) 344-2546
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS8408
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According to our database, Tara Connor Do Pa NPI is 1245432111, taxonomy code is 207Q00000X and license number is OS8408, license state is located at Florida. Tara Connor Do Pa physically located at 2401 Forest Dr, Inverness FL, 34453-3720. NPI Number 1033115704 has the healthcare provider type.

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1245432111 NPI number is provided on an as is basis without warranty of any kind. 1245432111 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Connor Do Pa are for informational purposes only.