Madison, Tara Lee

Madison, Tara Lee is an individual health care provider with primary practice located at 97 Flagler Plaza Dr , Palm Coast FL 32137-5965. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Madison, Tara Lee can be contacted via phone (386) 693-4883.

Contact Information

Primary practice address
97 Flagler Plaza Dr Palm Coast FL 32137-5965
Phone: (386) 693-4883
Fax: (386) 693-4892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 18-44-1424515 Florida

Profile Details

NPI number 1518383850
LBN Legal business name Madison, Tara Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2014
Last updated Mar 11th, 2014 - about 12 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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