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NPI Code Detail

MEDICARE: MISS TARA LYNN TINGLER PAC

MEDICARE: MISS TARA LYNN TINGLER PAC
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
1363A00000XPhysician AssistantPA9102755FL

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 : 1982609715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TARA LYNN TINGLER PAC
Provider Business Mailing Address
First Line : 12479 TELECOM DR
Second Line :
City : TAMPA
State : FL
Zip : 33637-0913
Country : US
Telephone Number : 813-972-4199
Fax Number : 813-972-5753
Provider Business Practice Location Address
First Line : 3100 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33613-4613
Country : US
Telephone Number : 813-971-6000
Fax Number : 813-972-5753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 11/05/2007

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Directions to “ MISS TARA LYNN TINGLER PAC” Practice Location

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