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NPI Code Detail

MEDICARE: MRS. TAMARA SHARP BA

MEDICARE: MRS. TAMARA SHARP BA
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
1104100000XSocial Worker7576196FL

General Provider Information

NPI Number : 1306974225
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMARA SHARP BA
Provider Business Mailing Address
First Line : 660 PARK ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-2933
Country : US
Telephone Number : 904-899-6300
Fax Number : 904-899-6380
Provider Business Practice Location Address
First Line : 660 PARK ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-2933
Country : US
Telephone Number : 904-899-6300
Fax Number : 904-899-6380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. TAMARA SHARP BA” Practice Location

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