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NPI Code Detail

MEDICARE: TARSHA LAVON GOOD APRN

MEDICARE:   TARSHA LAVON GOOD  APRN
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
1363L00000XNurse PractitionerAPRN11037427FL

General Provider Information

NPI Number : 1891351243
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARSHA LAVON GOOD APRN
Provider Business Mailing Address
First Line : 3968 LAKE NED VILLAGE CIR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-2586
Country : US
Telephone Number : 941-237-9491
Fax Number :
Provider Business Practice Location Address
First Line : 3968 LAKE NED VILLAGE CIR
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-2586
Country : US
Telephone Number : 941-237-9491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2019
Last Update Date : 04/15/2025

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Directions to “ TARSHA LAVON GOOD APRN” Practice Location

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