Wilson, Tara Beth

Wilson, Tara Beth is an individual health care provider with primary practice located at 501 Live Oak St , New Smyrna Beach FL 32168-7300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Wilson, Tara Beth can be contacted via phone (386) 274-0250.

Contact Information

Primary practice address
501 Live Oak St New Smyrna Beach FL 32168-7300
Phone: (386) 274-0250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31333 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X ME162877 Florida

Profile Details

NPI number 1922176429
LBN Legal business name Wilson, Tara Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 16th, 2023 - about 3 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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