Fussell, Tara Lynette

Fussell, Tara Lynette is an individual health care provider with primary practice located at 661 E Altamonte Dr Ste 210 , Altamonte Springs FL 32701-5102. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Fussell, Tara Lynette can be contacted via phone (407) 339-7759.

Contact Information

Primary practice address
661 E Altamonte Dr Ste 210 Altamonte Springs FL 32701-5102
Phone: (407) 339-7759
Fax: (407) 830-0024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 3488 Florida

Profile Details

NPI number 1225275837
LBN Legal business name Fussell, Tara Lynette
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Aug 10th, 2021 - about 5 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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