Healthcare Provider Details

I. General information

NPI: 1194008896
Provider Name (Legal Business Name): ZAMAR TARA MCPHERSON ND, RDN (LIC)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9755 CRESCENT VIEW DR S
BOYNTON BEACH FL
33437-5922
US

IV. Provider business mailing address

9755 CRESCENT VIEW DR S
BOYNTON BEACH FL
33437-5922
US

V. Phone/Fax

Practice location:
  • Phone: 561-907-8620
  • Fax:
Mailing address:
  • Phone: 561-907-8620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND 7904
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberND7904
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberND7904
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT82009
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: