Maddox, Tara
Maddox, Tara is an sole proprietor health care provider with primary practice located at 1425 Black Pine Ct , Orange Park FL 32065-2513. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Maddox, Tara can be contacted via phone (904) 228-0901.Contact Information
Primary practice address
1425 Black Pine Ct
Orange Park FL 32065-2513
Phone: (904) 228-0901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1073331666 |
|---|---|
| LBN Legal business name | Maddox, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2024 |
| Last updated | Oct 1st, 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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