MEDICARE: DR. ZAMAR TARA MCPHERSON ND, RDN (LIC)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath
2	133V00000X	Registered Dietitian	ND 7904	FL
3	133N00000X	Nutritionist	ND7904	FL
4	133NN1002X	Nutrition Education Nutritionist	ND7904	FL
5	133V00000X	Registered Dietitian	DT82009	TX

General Provider Information

NPI Number	:	1194008896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAMAR TARA MCPHERSON ND, RDN (LIC)

Provider Business Mailing Address
First Line	:	9755 CRESCENT VIEW DR S
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-5922
Country	:	US
Telephone Number	:	561-907-8620
Fax Number	:

Provider Business Practice Location Address
First Line	:	9755 CRESCENT VIEW DR S
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-5922
Country	:	US
Telephone Number	:	561-907-8620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	06/22/2023

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