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NPI Code Detail

MEDICARE: DR. DANIEL CHARLES TARQUINIO D.O.

MEDICARE: DR. DANIEL CHARLES TARQUINIO D.O.
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
1208000000XPediatrics PhysicianOS10175FL
22084N0600XClinical Neurophysiology Physician72932GA
32084N0402XNeurology with Special Qualifications in Child Neurology Physician72932GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427131168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL CHARLES TARQUINIO D.O.
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 1315 JESSE JEWELL PKWY NE STE 300
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3875
Country : US
Telephone Number : 770-219-6520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 12/01/2022

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