Dixon, Tara Rene

Dixon, Tara Rene is an individual health care provider with primary practice located at 120 Pine Ave N , Oldsmar FL 34677-4629. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dixon, Tara Rene can be contacted via phone (813) 814-9504.

Contact Information

Primary practice address
120 Pine Ave N Oldsmar FL 34677-4629
Phone: (813) 814-9504
Fax: (813) 635-7946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9310040 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9310040 Florida

Profile Details

NPI number 1194171892
LBN Legal business name Dixon, Tara Rene
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated Feb 12th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194171892 NPPES
Florida MEDICAID 019157600
Florida Other 1AABR

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