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NPI Code Detail

MEDICARE: DR. JASON TACHE D.O.

MEDICARE:  DR. JASON  TACHE  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
1207RH0003XHematology & Oncology PhysicianOS8847FL

General Provider Information

NPI Number : 1679561294
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON TACHE D.O.
Provider Business Mailing Address
First Line : 7351 W OAKLAND PARK BLVD
Second Line : SUITE 106
City : TAMARAC
State : FL
Zip : 33319-7107
Country : US
Telephone Number : 954-749-6955
Fax Number : 954-578-2783
Provider Business Practice Location Address
First Line : 8200 W SUNRISE BLVD BLDG C
Second Line :
City : PLANTATION
State : FL
Zip : 33322-5426
Country : US
Telephone Number : 954-370-8585
Fax Number : 954-370-1585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 04/23/2019

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Directions to “ DR. JASON TACHE D.O.” Practice Location

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