Dettra, Tara Lovett

Dettra, Tara Lovett is an sole proprietor health care provider with primary practice located at 1093 A1A Beach Blvd Pmb 285, Saint Augustine FL 32080-6733. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Dettra, Tara Lovett can be contacted via phone (904) 540-7994.

Contact Information

Primary practice address
1093 A1A Beach Blvd Pmb 285 Saint Augustine FL 32080-6733
Phone: (904) 540-7994
Fax: (904) 471-4980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW 227 Florida

Profile Details

NPI number 1790929438
LBN Legal business name Dettra, Tara Lovett
Credentials L.M., C.P.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2009
Last updated Apr 24th, 2009 - about 17 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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