Boddie, Tara

Boddie, Tara is an sole proprietor health care provider with primary practice located at 2038 Arden Oaks Dr , Ocoee FL 34761-8448. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boddie, Tara can be contacted via phone (404) 429-3747.

Contact Information

Primary practice address
2038 Arden Oaks Dr Ocoee FL 34761-8448
Phone: (404) 429-3747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH18660 Florida

Profile Details

NPI number 1134763071
LBN Legal business name Boddie, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2019
Last updated Nov 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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