Louka, Tara D

Louka, Tara D is an sole proprietor health care provider with primary practice located at 350 7Th St N , Naples FL 34102-5754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Louka, Tara D can be contacted via phone (239) 624-4200.

Contact Information

Primary practice address
350 7Th St N Naples FL 34102-5754
Phone: (239) 624-4200
Fax: (239) 624-4241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111974 Florida

Profile Details

NPI number 1295710952
LBN Legal business name Louka, Tara D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Feb 3rd, 2020 - about 6 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 1295710952 NPPES
Florida Other EJBOZ BCBS
Florida MEDICAID 103234900 BCBS

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